BSIA New Member Application

BSIA, Inc.
P.O. Box 510956
Punta Gorda, FL 33951-0956

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BSIA Membership Director
Burnt Store Isles Association

2019 New Member Application $40 dues

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Personal Information

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  • Fee

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Custom Information 1

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    The information you provided above is exactly what will appear in the directory. Click (Yes) or (No) if you wish to be in the directory.

  • From time to time BSIA will want to send only one email per household. This address will be your primary email. What address will be your Primary Email?

Custom Information 2

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    Do you own or rent your home in BSI?

  • I prefer official BSIA information sent to me only through the US Post Office, rather than email.



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