BLMA Weekly E-Mail Signup Sheet - Teturn this Slip to BMLA

By filling out this infomration and returning it to the Administration Office, you consent to receiving e-mails regarding BML emergencies and upcoming events. Please fill in all requested information. All information will be kept confidential. 

Name: __________________________________________________________________

Address: ________________________________________________________________

Phone Number: ___________________________________________________________

E-mail Address: ___________________________________________________________

You can return this form via: 

Email:   bmlarec@ptd.net
Fax:  570-788-5117
In Person:  Drop off in Administration Office or in Collection Box in restaurant