BALA Membership/Dues
Dues 2010...........$50.00 per house/property
Make check payable to:  BALA, Inc.

Mail to:  Roger White, Treasurer
Big Alum Lake Association, Inc.
P.O. Box 555
Fiskdale, MA 01518

Kindly remit payment for dues by June 15, 2010.
Please return the following form with check; please include lot number.

Name: ___________________________________________________

Lake Address: _____________________________________________

Current Mailing Address: _____________________________________

Lot Number(s): ______________              Phone Number: _______________

E-mail Address: ____________________________________________

May we share your address, phone number and e-mail address with other lake residents?    

____ Yes    ____ No      

Please check here if there are changes since last year. _____

Thank you.