Annual Dues Form

South Shore Hills Property Owners Association

NAME__________________________________________________________________

LOT NUMBER(s)________________________________________________________

PHONE NUMBER________________________________________________________

EMAIL ADDRESS________________________________________________________

________________ $600 ANNUAL ASSOCIATION DUES, PER LOT DUE JUNE 1

MAKE ALL CHECKS PAYABLE TO:

SSHPOA

c/o Judy Ettema

3285 S. East Torch Lake Dr

Bellaire, MI 49615

PLEASE INCLUDE YOUR LOT NUMBER(S) ON ALL CHECKS SUBMITTED.