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                Welcome to the Birch Island Lake Association

 

Me mbership is open to any individual who lives on or within one mile of Birch Island Lake. Dues are paid every other year. Dues for 2016-2017 are $30 per household.

 

To join, please complete the form below, and mail with your check to:

Birch Island Lake Association

PO BOX 217

Webster, WI 54893

 

(Or bring to the Spring Meeting. Please enclose your check or cash in the enclosed envelope, write your name on the back of the envelope, attach to this form and drop into the box at the sign-in table.)

 

The information below will appear in the Member Directory, published for the Fall meeting of dues years (next one Fall 2016). Please print clearly!

 

Name:_____________________________________________/__________________

                                                                                                      ( cell phone #)

Email:______________________________________________________________

 

Name:_____________________________________________/__________________

                                                                                                       (cell phone #)

Email:______________________________________________________________

 

 

Birch Island Lake Address: ___________________________________________________________________

 

_____________________________________________________________________

(Address, City, Zip, phone)

 

Home Address: __________________________________________________________________

 

_____________________________________________________________________

(Address, City, State, Zip, phone)

 

Preferred contact method:  ____ email    ____ US mail BIL ____  US mail Home

 

Please remove my name from your list _____  Do Not print my name in directory _______

 

Please consider a donation for the Water Quality Committee (http://www.bilawaterquality.org/)

 

Amount enclosed: 2016-17 dues  $ __________

                              BILA donation $ __________

                               Water Quality $ __________

                                              Total $ __________

 

This form can also be downloaded from the Birch Island Lake Association (BILA) website at www.birchislandlake.com.