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