BRETON BAY CIVIC ASSOCIATION MEMBERSHIP APPLICATION


2009 membership DUES/DONATIONS

Please remit your check to BBCA, PO Box 67, Leonardtown, MD  206540

Name:               _____________________________________________________ 

Street Address:  _____________________________________________________

                         _____________________________________________________

 

Phone:  _________________                 Own____    Rent_____

 

E-Mail Address: _____________________________________________________

 

Would you like to receive your information via e-mail?   Yes   No

 

Annual Dues:  $50.00  (Includes 2 tags) dues are not prorated

 

Beach Donation:  _____________

 

Additional Tags:  ____________  $10.00 Each (Limit 2)

 

Total Check:   _________________

 

Are you interested in volunteering with BBCA?  If yes, what is best time and phone number where you can be reached?  _______________             __________________
                                                       Best Time to Call                      Phone No.

 

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Should you have any questions, please feel free to contact any member of the 2009 Executive Board: Joe Bell, President 301-475-3766, bellj@md.metrocast.net; Marianne Romero, Vice President, 301-475-9321, pr5471@aol.com; Jennifer Campbell, Treas 301-475-9674, jawinva@yahoo.com; or Maureen Rotto-Coar, Secy, 301-475-3933, MaureenR@csmd.edu.]

To reserve Pavilion, call Marianne Romero above.