2025 Membership

2025 Membership

www.basslakeweb.com
Name*

First NameLast Name
Cottage Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Cottage Phone

Area CodePhone Number
Cell Number

Area CodePhone Number
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCanada
Are there any other family members that would like to be included in our email updates?

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Name #1

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Relationship #1
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Name#2

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ANNUAL MEMBERSHIP $75
How would you like to pay your annual membership?

ChequeInteract e-Transfer
Please make your cheque for $75 payable to the Bass Lake Association and mail to:

Jo-Anne Goodwin

650 Cape Avenue

Burlington , Ontario

L4L 4M7

We will email you confirmation when we have received your cheque.
Your bank should allow you to send an Interac e-Transfer. Please send your annual membership to:

Jo-Anne Goodwin at muskokakids@sympatico.ca

Thank you.
We welcome any comments or feedback
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