Belmont Shore Residents Association Membership Form
If you are not currently a BSRA Member, please take time to print this page, complete the form and mail it with your $20 membership dues (check) to the PO Box address below -- or bring the completed form with you to the next BSRA meeting.
Name: _______________________________________________
Name: _______________________________________________
Address: ______________________________________________________
Phone: _________________________ E-mail: ______________________________
Membership Year: October 1st -- September 30th
(New membership dues paid in August or September applies through the following September.)
*** Help the BSRA Work for You ***
DUES $20.00 PER PERSON/MEMBERSHIP
(Multiple memberships are allowed in the same household -- one vote per membership.)
The issues that concern me most are:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Yes, I am interested in assisting the BSRA in the following manner:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
- Belmont Shore Residents Association PO Box 30327 Long Beach CA 90853 -
Name: _______________________________________________
Name: _______________________________________________
Address: ______________________________________________________
Phone: _________________________ E-mail: ______________________________
Membership Year: October 1st -- September 30th
(New membership dues paid in August or September applies through the following September.)
*** Help the BSRA Work for You ***
DUES $20.00 PER PERSON/MEMBERSHIP
(Multiple memberships are allowed in the same household -- one vote per membership.)
The issues that concern me most are:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Yes, I am interested in assisting the BSRA in the following manner:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
- Belmont Shore Residents Association PO Box 30327 Long Beach CA 90853 -
