CONTACT INFORMATION UPDATE FORM

In order to better serve you and to assure we are directing mail to you when and where you want to receive it, we are requesting updates to your information to keep you informed of BSC news and special promotions. Please take a moment to fill out the form below.

Your Full Name*

Other patron name(s) in the Household

Email Address*

 

Primary Address

Year RoundSeasonal; WinterSeasonal; Summer

Street*

City*

State*

Zip*

Primary Phone*

CellLandline; Year RoundLandline; WinterLandline; SummerOffice

Secondary Phone

CellLandline; Year RoundLandline; WinterLandline; SummerOffice

Other Phone

CellLandline; Year RoundLandline; WinterLandline; SummerOffice

When do you receive mail at this primary address?*
All YearPartial Year

Is this your preferred address?*
YesNo

If you selected “partial dates” above, what dates?
 
Starting on:
Ending on:

Special Notes:

 

Secondary Address

Seasonal; WinterSeasonal; Summer

Street

City

State

Zip

I receive mail at this address starting on:
Ending on:

I do not receive mail at this address

 

Exclusions

I do not wish to receive any mail from BSCI do not wish to receive any e-mail from BSCI do not wish to receive any phone calls from BSC