LCIA

Membership Fee: $110

Note: Children aged 12 and over are considered adults for membership purposes.

Your full name *

Your address *

Your contact number *

Your email address *

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2nd Family member name

2nd family member email address

2nd family member contact number

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3rd Family member name

3rd Family Member email address

Enter 3rd member contact number

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Choose Payment Method *

Zelle

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Please Zelle $110 to lakecounty.indians1@gmail.com complete your registration and upload the payment completion screenshot below.

Membership Fee

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CONSENT: By submitting this form, I confirm that all information provided is accurate and consent to LCIA to process the application and it can be treated as my electronic signature.

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Family of 2 adults + 1 kid: Membership Registration Form

Membership Fee: $110