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Membership in Burnt Store Isles Association, Inc. is governed by Article II, "Membership and Dues," of the By-Laws.  Receipt, processing and overall administration of membership is the responsibility of the Membership Director of the BSIA Board of Directors. Persons wishing additional information or Membership Applications should contact the Director directly. Click here to contact the Membership Director.

Information supplied on this form will be used to qualify you for membership as well as for entry into our database used for BSIA Newsletter mailings and BSIA telephone directory listings. This database is NEVER sold nor given to anyone for any other purpose.

Yearly membership (January 1 - December 31)
Payment is due by January 31st in order to be included in the Annual Directory

I want to be a new member and will mail a check for $40.00 ($30.00 annual dues + $10.00 initiation)). New members joining after July 1 pay $30.00 ($20.00 dues and $10.00 initiation fee).

The following information will appear in the directory exactly as submitted. Please enter data completely. Remember that items such as e-mail addresses must be exactly correct in order to work properly. If you do not fill in an entry, no information will appear for that item.

Last name

First name

Spouse's first name

Street address

City

State Zip

Phone Cell

E-mail

IF the above mailing address is not in Burnt Store Isles, please provide the street address or lot & block number of your Burnt Store Isles property. (The following information will NOT appear in the Directory)

Address or,

Lot Block

 

Make checks payable to: Burnt Store Isles Association

Please mail your check to:

Membership Director

Burnt Store Isles Association, Inc

P.O. Box 510956

Punta Gorda, FL 33951-0956

 

 

 
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