Please print and mail along with a cheque for $45.00 to:

Port Elgin & Saugeen Township Beachers’ Organization

P.O. Box 377  •  Port Elgin  • Ontario  • N0H 2C0

Membership Application

Name:________________________________________________Email:____________________________________

Cottage Address:_______________________________________________________________________________

Home Address:__________________________________________________________________________________

City: ______________________________________________Postal Code: _______________________________

Phone: (Cottage)_____________________________Phone: (Home)___________________________________