Baldwin
Lake
Association
 Membership & Mosquito Control Form

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We try to keep our information accurate and up-to-date.
Please fill out the form below and return it with your dues of $25 per year
to BLA, PO Box 311, Union, 49130.

PLEASE JOIN US IN OUR EFFORT TO PRESERVE & PROTECT BALDWIN LAKE, OUR MOST VALUABLE ASSET,
& TO CREATE A BETTER ENVIRONMENT FOR ALL OUR RESIDENTS FOR WORK, PLAY, & SAFETY.

Adult Names: ________________________________________________________________

Children (with ages): _________________________________________________________

____________________________________________________________________________

Lake Address: ________________________________________________________________

Phone: _______________ Fax: _______________ Email: _____________________________


Winter Address (if different): ____________________________________________________

____________________________________________________________________________

Phone: _______________ Fax: _______________ Email: _____________________________

PLEASE INCLUDE US IN THE BALDWIN LAKE DIRECTORY Yes___No___(circle one)

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Donation for Mosquito Control – We hope everyone can donate $25 or more
My donation for the Mosquito Spraying is enclosed.

Name: _________________________________________________________________________________

Lake Address: ____________________________________________________________________________

Comments: ________________________________________________________________________________ _________________________________________________________________________________________

Please send form(s) and Check to:
BLA
P.O. Box 311
Union, MI 49130