| RENEWAL____ | NEW MEMBER____ |
| NAME____________________________________ | PHONE______________________ |
| ADDRESS_________________________________ | E-MAIL_____________________ |
| ___Regular. . .$20.00/yr. ___Family . . .$25.00/yr. ___Junior (<14) . . . $7.50/yr. | ___Student . . .$10.00/yr. ___Senior (>65) . . .$15.00/yr. ___Senior Family . . .$20.00/yr. | ___Contributing . . .$50.00/yr. ___Sustaining . . .$100.00/yr. ___Life . . .$300.00 ___Family Life . . .$500.00 (Installments may be arranged for Life memberships) |
| ___Library Subscription . . .$15.00/yr.* *Please add $2.00 for foreign subscriptions | Make checks payable to the "LOS" and send to: Judith O'Neale, LOS Secretary-Treasurer 504 Whitebark, Lafayette, LA70508 337.981.1011 |
