LSKC Membership Application
Please print and fill out this page, then mail with your check or money order payable to LSKC to:
Joanie Patterson
LSKC Treasurer
1618 New Orleans St
Deer Park, TX 77356
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Name(s): |
________________________________________ ________________________________________ |
| Address: City: State/Zip: |
________________________________________ ________________________________________ ________________________________________ |
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Email Address: |
________________________________________ ________________________________________ |
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Do you have any special needs at this time? |
________________________________________ |
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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.