BalsamLake Community Club P.O. Box 366 Balsam Lake, WI 54810
MEMBERSHIP APPLICATION January 1, 2007 - December 31, 2007
NAME(S): ____________________________________________________________________ [Please Print]
MAILING ADDRESS: _________________________________________________________ [Street/PO Box] [City] [Zip Code]
PHONE NUMBER: ______________________ E-MAIL: _____________________________
_______ Save postage and printing cost and email me the club news
SPECIAL INTERESTS: ______________________________________________________________________________
______________________________________________________________________________
Please Submit Application & Dues to:
Dues : Individual $10.00 ~ Family $15.00
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Visit our website: www.BalsamLakeWI.com/CC
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