BalsamLake Community Club P.O. Box 366 Balsam Lake, WI 54810
MEMBERSHIP APPLICATION - Printable version
January 1, 2008 - December 31, 2008
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:
BalsamLake Community Club/Membership P.O. Box 366 Balsam Lake, WI 54810
Dues: Individual $10.00 ~ Family $15.00
Silver Contributor: $50
Gold Contributor: $250
Platinum Contributor: $500.00
|
