Where

BSIA New Member Application

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

Event Address Map
Driving Directions

Contact

BSIA Membership Director
Burnt Store Isles Association
membership@bsia.net

2019 New Member Application $40 dues

Please make sure you enter data into all *Required fields.

* Required information

Personal Information

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  • Fee

    Type Fee
    $40.00

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

  • *

    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.

$9,999.99

Payment

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