Bear Lake Watch Member Application Form

Bear Lake Watch is making a difference!
Yes!
Count Me In!
I want to join with Bear Lake Watch in preserving Bear Lake.

Name:

Address:

City:

State:

Zip:

Phone:

E-mail address:

Credit card number Expiration date

Individual Membership
Couple
Membership
Gold
Membership

Business Membership

Platinum Membership

$25
$50
$100

$250

$1000

OR
send a check to:

Bear Lake Watch, Inc.
P.O. Box 205
St. Charles, Idaho, 83272

If sending a check, please be sure to include you name, address and e-mail so we can send you our quarterly news letter and important e-mail updates.

Bear Lake Watch is making a difference! Yes! Count Me In! I want to join with Bear Lake Watch in preserving Bear Lake.
Name:
Address:
City:		State:	Zip:
Phone:		E-mail address:
	Credit card number		Expiration date

Individual Membership	Couple Membership	Gold Membership	Business Membership	Platinum Membership
$25	$50	$100	$250	$1000