Membership and Boat Application

Please complete and submit payment, or print and mail your payment.

Application Type

*
Existing Member Renewal $250 (online payment $260)New Member $325 (includes onetime application fee of $75)(online payment $335)

Member Information (please print or type)

Name *
Residence *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone Number *
Email Address *
*Please give us your email address so we can send the Lynwood Log Newsletter via email to save paper and printing costs. Email address is used solely to provide information regarding Lynwood Lake and Southeast Community items (i.e. recent break-ins, lost pets, other items of general interest) and will not be shared or sold at any time.

Other Household Members

Household Member 1

Name

Age (Children Only)

Relationship

Household Member 2

Name

Age (Children Only)

Relationship

Household Member 3

Name

Age (Children Only)

Relationship

Household Member 4

Name

Age (Children Only)

Relationship

Household Member 5

Name

Age (Children Only)

Relationship

Rule Compliance

*
I have read and AGREE to all Lynco Bylaws found displayed on the website (Lynwoodlakes.com/bylaws) in lieu of signature.

Lynco Club Boat Registration

I have a boat to registerI have no boat to register

Boat Information

Boat #1

Boat Type

Color

Length

Make of Motor

HP/CC's

NC Registration Number

File Upload Please provide a picture of your motorized boat showing the NC registration numbers - This will be a one time need to help Lynco manage the lakes

Boat #2

Boat Type

Color

Length

Make of Motor

HP/CC's

NC Registration Number

File Upload Please provide a picture of your motorized boat showing the NC registration numbers - This will be a one time need to help Lynco manage the lakes

Kayak / Canoe

Kayak/Canoe 1

Make

Color

Length

Kayak/Canoe 2

Make

Color

Length

Kayak/Canoe 3

Make

Color

Length

Kayak/Canoe 4

Make

Color

Length

NOTE: Please see boating rules at LynwoodLakes.com

Insurance Information

Liability Insurance Company
Agent
Phone Number
I hereby declare that all entries listed above are true and that I will keep my insurance current for the year. (please check box)

Boating Rules Compliance

I have read the boating rules of Lynco Club of Lynwood Lakes as stated at lynwoodlakes.com My family and I will abide by these rules or risk loss of lake privileges or membership at the discretion of the Lynco Board. (please check box)
NOTE: Refer to www.lynwoodlakes.com for complete lake and boat rules.
Check in lieu of signature
IMPORTANT: Please submit your payment online. There is an $10.00 convenience fee to pay online ($260/$335) Once your payment has been made, submit your application for approval. Membership must be approved by Lynco Board. If approved, membership product will be delivered to you. If denied, payment will be returned.
Payment

Verification

Please enter any two digits *Example: 12
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If you need to mail in your application and payment, please fill out your information here and print the form submit them with payment to the address below:

Lynco Club
ATTN: Boat Registration
2009 Lynwood Drive
Greensboro, NC 27406