Welcome to the Lake Keesus Management District

All information submitted is treated as Personal and Confidential

First Name:		Last Name:
Address:		City:
State:		Zip:
Please include your area code below due to expansion and duplicate codes for some areas.
Home Phone:		Area No.
Work Phone:		Area No.
Cell/Mobile:		Area No.
E-Mail Address:
What Lake (if any) do you live on:
How did you hear about us:
If other:

	P.O. Box 609, Merton, WI 53056 E-Mail us at lakekeesus@wi.rr.com