Bentwater Civic Association (BCA) Membership Form

 The Board of Directors of the BCA hope you will join with your friends, fellow property owners and neighbors in Bentwater in renewing your membership or becoming a member for the coming year. Your support is critical to the success of the BCA.

 The mission of the Bentwater Civic Association, under the direction of its’ elected Board of Directors, is to inform, coordinate, represent and support our Members and our Bentwater community. This mission is accomplished through projects, meetings, maintaining the Web-site of the BCA and other communications as needed; as well as cooperating and working with the various organizations and entities within the Bentwater Community.

 [  ] Attached is a $20 check made payable to “Bentwater Civic Association”.

 [  ] I agree to have the Bentwater Country Club bill me $20 for BCA dues on my country club statement.

CC Member Number ___________ Signature ___________________________


Member Information (please print):

NAME: _________________________________________________________

ADDRESS: ______________________________________________________

TOWN: _______________________ STATE: ___________ZIP:___________

PHONE: ______________________EMAIL:_____________________________

MEMBERSHIP YEAR--- 2017 DATE:_________________________


Please provide suggestions, comments, and areas of interest to help improve your BCA:


Are you interested in serving on the BCA Board or its Committees in the future? ________

Your phone and email are requested so communications from the BCA can appropriately be transmitted to you.

If you choose to pay by check, please mail to (or drop off at Club front office) this form and check to


Bentwater Civic Association

909 Bentwater Drive

Montgomery, TX 77356