2022 Annual Dues Information
Please complete and submit by April 15, 2022
Name
First Name
Last Name
Do you want to include names and ages of children?
YES
NO
Please list children(s) names and ages:
Primary Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
Please enter a valid phone number.
Secondary Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Phone Number
Please enter a valid phone number.
Email Address 1
example@example.com
Email Address 2
example@example.com
May we publish your email addresses in the Dinghy?
Yes
No
Please provide list of your boats by make and type. Example: Bennington/pontoon
How will you be paying?
Please Select
By check
By credit card
Note the dues have increased by $25 vs. 2021
Please select membership type:
Lake Resident - Family $375 by check
Lake Resident - Individual $226 by check
Social - Family (non-residents) $175 by check
Social - Individual (non-residents) $125 by check
Make checks payable to BLYC and mail to P.O.Box 213, Hartland, WI 53029
Submit
CREDIT CARD INFORMATION IS NOT SAVED
Note the dues have increased by $25 vs. 2021
Membership Type:
prev
next
( X )
BLYC Lake Resident - Family
Credit purchase includes a processing fee of 2.9% and $0.30 per transaction.
$
386.51
BLYC Lake Resident - Individual
Credit purchase includes a processing fee of 2.9% and $0.30 per transaction.
$
232.03
BLYC Social - Family (Non-Lake residents)
Credit purchase includes a processing fee of 2.9% and $0.30 per transaction.
$
180.54
BLYC Social - Individual (Non-Lake residents)
Credit purchase includes a processing fee of 2.9% and $0.30 per transaction.
$
129.04
Credit Card
Submit
Should be Empty: