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: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________