CLIA Lake Harvesting Services Form

Cossayuna Lake Improvement Association

CLIA Lake Harvesting Services Form
Current Association membership is necessary in order to sign up for lake weed harvesting. If you are not a member, please sign-up via the Online Sign-Up page on the Association website (www.cossayunalake.com), or complete and mail in the All-In-One form on the Forms & Applications page of the Association website. Our goal is to perform multiple harvesting passes during the season, dependent upon weather and equipment conditions.

Folks who sign up for harvesting have a number assigned to their lot for harvesting purposes. If you are a new property owner and the prior owners had participated in the harvesting program, you already have a number assigned to your property.

As part of your “opening up the camp” routine each spring, please locate your harvesting sign and make sure it is in good shape and is visible from your lakefront or dock. If it’s lost or needs spiffing up, please contact Tom LeCours or Gene Henry and the Harvesting Team will refurbish or replace your sign.

* Required fields
Harvesting Costs
- $150 per lot
- $75 per hour for additional harvesting - limit of 2 additional hours
Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*
You must be a current paid-up member to sign up for harvesting services. If you have not yet paid your seasonal membership dues, please do so now by clicking on the link below to renew your membership. Clicking on the link will open up a new browser session. After you have renewed your membership you can continue signing up for harvesting services.

https://form.jotform.com/250894826522161
Email Address*
example@example.com
List the property address(es) of the lot(s) to be harvested:*
Harvesting Number(s) if known:
How many lots would you like to be harvested? ($150 per lot)*

123456
OPTIONAL: How many additional hours of harvesting would you like? ($75 per hour)

012
Harvesting Calculation
Click on your preferred method of payment below (PayPal Checkout, PayPal Credit, or Credit or Debit Card payment). After you complete your payment information, click on the submit button to complete the transaction. Your account or card will not be charged until you complete the submit process.

If you are paying by Credit or Debit card, do NOT click on the option to save your card information - selecting that option will take you to the PayPal login screen.
Amount Due:

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USDLAKE HARVESTING SERVICES

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Questions can be directed to the following individuals:

Membership: Bob Reilly 631.897.4811 or dakotabr1960@gmail.com

Harvesting: Tom LeCours, Harvesting Chair 518.366.1151 or tunamantom@yahoo.com / Gene Henry, Head Harvester 518.744.4768 or newpilotg@roadrunner.com

Lake Management: Sheila Rappazzo 518.429.8312 or sarappazzo@yahoo.com
CLIA is a 501(c)3 nonprofit organization. Donations are tax exempt to the extent of the law. A copy of our most recently filed financial report is available from the Charities Registry on the New York State Attorney General's website (www.charitiesnyc.com) or, upon request, by contacting the New York State Attorney General, Charities Bureau, 28 Liberty Street, New York, NY 10005 or us at POB 81, Cossayuna, NY 12823-0081. You may also contact the New York State Office of the Attorney General at 212.416.8401.
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Cossayuna Lake Improvement Association