Big Chetac and Birch Lakes Association
Membership Renewal Form
PLEASE SEND THIS FORM WITH YOUR PAYMENT TO:
BIG CHETAC AND BIRCH LAKES ASSOCIATION
PO BOX 33
BIRCHWOOD WI 54817
Name(s):_____________________________ Email:______________________________
Address:______________________________ Phone:______________________________
______________________________
Your information will be used for contact purposes only. We will not be sharing this information with anyone outside of the Association. We very much need your email address so that we can more easily communicate with you on a regular basis.
Enclosed:
Membership Fee: Single Membership $20, Family Membership $35 $_______
Donations to help fund Grants $_______
Total Amount Enclosed $_______
I would like to volunteer this year by (check all that apply):
□Chairing a Committee □Monitoring Invasive Species □Pulling CLP □Increasing our Membership □Monitoring Water Temperature □Contributing my time (I don’t have a preference how)
Comments or other ways you would like to help: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________