BHTA Membership Form

Beach Haven Taxpayers' Association

Beach Haven, NJ 08008 BeachHaventa@gmail.com www.bhtaxpayers.org

Is Beach Haven your permanent residence? Yes

Name

Beach Haven Address

Permanent Residence Address

Cell Phone #

DUES: (choose one) Single Membership: $50/year Silver Business Memberships: $150.00/year Gold Business Memberships: $250.00/year

Payments can be made online at www.bhtaxpayers.org by clicking on the 'PAY NOW' tab and pay via PayPal and mail this Membership Application to the address above or you can mail a check to us along with this Membership Application. (No cash please)

List any concerns issues questions or ideas you would like the BHTA to support oppose or communicate to the Beach Haven Administrator and Council Members

Beach Haven Taxpayers Association ~ P.O. Box 1236, Beach Haven, New Jersey 08008 "Our Mission is to Preserve and Protect the Interest's of Beach Haven's Taxpayers"

We are always looking for members who wish to become active and have a background that may be useful to our organization. Are you interested? Yes My interests/background include:

My interestsbackground include

Beach Haven Taxpayers Association ~ P.O. Box 1236, Beach Haven, New Jersey 08008 "Our Mission is to Preserve and Protect the Interest's of Beach Haven's Taxpayers"

HAVEN BEACH

HOMELANDDEPARTMENT