SOSCLA MEMBERSHIP APPLICATION

For more information about the Save Our South Channel Lights Association, call us at (810) 748-1888 or email us at  soslights1@aol.com


To pay by check or money print this application by using your browsers print button

My check or money order is enclosed, made out to "Save Our South Channel Lights"
P.O. Box 15 Harsens Island, MI 48028
Telephone inquiries at  810-748-1888

I enclose:

¸ Individual    $15 ¸Family          $25 
¸ Keeper        $50    ¸Sustaining    $75
¸ Patron         $100 ¸Life               $1000
   
Name:________________________________________________________
Address:______________________________________________________
City:___________________ State:__________________
Zip_________________
Phone    _______________________________________________
 

 *Memberships expire January 1 each year

Copyright © 2009 Save Our South Channel Lights Association. All Rights Reserved.