LSKC Membership Application
Please print and fill out this page, then mail with your check or money order payable to LSKC to:
David Pinder
LSKC
7870 Forest Hills Dr
Montgomery, TX 77316
|
Name(s): |
________________________________________ ________________________________________ |
| Address: City: State/Zip: |
________________________________________ ________________________________________ ________________________________________ |
|
Email Address: |
________________________________________ ________________________________________ |
|
Do you have any special needs at this time? |
________________________________________ |
|
Dues Level |
Individual $25 ______ Family $25 ______ Corporate $100 ______ (Includes business card ad placement in newsletter & website) |
If you have any question, please contact the Treasurer at 832 729-3477.