LOS MEMBERSHIP FORM

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

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