The Friends of Point Betsie Lighthouse
• Membership Form

  1. Print out and fill in the form below.
  2. Make checks payable to: The Friends of Point Betsie Lighthouse (FOPBL) Temporary Renovation Fund.
  3. Mail completed form and check to:

      Friends of Point Betsie Temporary Renovation Fund   
      c/o Grand Traverse Regional Community Foundation
      250 E Front St.   
      Traverse City, MI  49684

Membership: (Check all boxes that apply)

      Individual -- $35.00    
      Family -- $50.00        
      General Contribution

Name    ___________________________________________________________

Email Address  _______________________________________

Summer Address ____________________________________________________

Summer City    ____________________ State _________ Zip Code ______

Summer Phone   _____________________

Winter Address ____________________________________________________

Winter City    ____________________ State _________ Zip Code ______

Winter Phone   ____________________

  Yes! I would consider serving on the Board of Trustees
    or working on a committee: _______________________
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of Point Betsie Lighthouse
and
ATI Consulting