New Membership Form Test

Membership Test

"*" indicates required fields

Today's Date*

New or Renewing Member?*

Name*

First Last

Email*

Phone*

Single or Household Membership?

All memberships are $40. A household membership can include all adults 18 years and older who live with you.

Additional Household Members

List first & last names of other adults 18+ in your home.

Additional Household Emails

List emails of other adults 18+ in your home, if applicable.

Additional Household Phone Numbers

List phone numbers of other adults 18+ in your home, if applicable.

Address*

Street Address City State ZIP Code

Occupation*

Employer*

Employer City & State*

City State

Payment Method*

Note: Corporate cards cannot be used.

Credit Card

Note: Corporate cards cannot be used.

Total Payment Today

Comments

This field is for validation purposes and should be left unchanged.

Membership Test

"*" indicates required fields

Today's Date*

New or Renewing Member?*

Name*

First Last

Email*

Phone*

Single or Household Membership?

All memberships are $40. A household membership can include all adults 18 years and older who live with you.

Additional Household Members

List first & last names of other adults 18+ in your home.

Additional Household Emails

List emails of other adults 18+ in your home, if applicable.

Additional Household Phone Numbers

List phone numbers of other adults 18+ in your home, if applicable.

Address*

Street Address City State ZIP Code

Occupation*

Employer*

Employer City & State*

City State

Payment Method*

Note: Corporate cards cannot be used.

Credit Card

Note: Corporate cards cannot be used.

Total Payment Today

This field is for validation purposes and should be left unchanged.

New Membership Form Test

Membership Test

Membership Test

CONTACT US

EVENTS

BCRP Monthly Member Meeting – June 2023

June 5 @ 7:00 pm

Rice Lake Aquafest Grand Parade 2023

June 11 @ 12:30 pm

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