Membership Renewal

Complete the form below to renew your BCSA Membership. Review all information carefully before pressing "Submit Renewal" you will be given the address of where to mail the check. * = Required Information

Renewal Exception

Memberships for those joining from October 2019 and forward through December 2019 do not expire until 12/31/20. No renewal is due at this time for these memberships. Please check with the Membership Chair, if you have questions about your status.

Member Information

Name*

First Last

Email Address:*

Household Name

Age*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email*

NOTE: — Members with an email address will receive all club correspondence via email. — Make certain the Membership Chair is notified if your email address changes.

Member Preferences/Signature

Membership Type/Dues*

BCSA is offering a discount for the 2020 renewals paid for in December, 2019. The discount will be applied on the payment page. If you are a Lifetime member, please select the proper check box, and submit this form. LT member must update their information annually to continue to received information from the organization.

Meeting Notices - Will be sent via email unless the Membership Chair is notified in writing of other arrangements.

Applicant's Signature*

By submitting this renewal form, I confirm that it has the same effect of my personal signature.

Household Signature*

Select N/A if Individual Membership. Household Membership: By selecting "YES," I confirm that it has the same effect of my personal signature.

Notes

Enter any special notes needed.

Mail Payment*

Information on where to mail your check is provided to you on the following payment pages. The club must receive your payment no later than December 31, 2019 for you to receive the discount for Individual Renewal.

Total

$0.00

Membership Renewal Form