BCSA Membership Application 2018 - Berks County Swimming

Berks County Swimming Association Membership Form All membership dues support summer swimming and diving in Berks County and pay expenses for the County Championship meets. Benefits:    

You decide the future of Berks County Swimming & Diving Notification & invitation to spring and fall meetings via email Voting rights Input to changes made to the BCSA Constitution

Membership year is January 1 through December 31 2018 dues is: CONTRIBUTING MEMBER: $10.00 – includes a FREE yearbook SOCIAL MEMBER: $6.00 Check should be made payable to: BCSA Please mail completed form and payment to: Dan Megill BCSA Corresponding Secretary 2714 Romig Road Gilbertsville, PA 19525

BCSA Membership Application 2018 Name:____________________________________ Address:__________________________________ _________________________________________ _________________________________________

New Member:_________________________

Existing Member:______________________

Phone:___________________________________

Amount Paid:__________________________

Email:____________________________________

Cash:_________________________________

Pool Affiliation:____________________________

Check #:_______________________________