Individual Membership Application

Individual Memberships are $50 plus $2 for online processing, or mail a check for $50.00 to LMSA, PO Box 1032, Lakeport, CA 95453.

Name (required)

Email (required)

Web URL

Telephone (required)

Address 1 (required)

Address 2

City (required)

Zip (required)

Committee Volunteer Interest (pick one)
OrganizationPromotionDesignEconomic Restructure

Non-Committee Volunteer Interest
Event setupEvent tear downAdmin HelpBoot ManningWorkshop CoordinatingNew BusinessMixersGuest Speaking

Description of your products/services to appear in your free LMSA Web listing (50 words or less)

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