Application Form

Member Access Application

Please fill out the following application so that we may set up your access account to the exclusive members-only content that is available on this site. You will need to enable Javascript in your browser before this application form can be processed.

Part I - Please fill out the following identifying information about you. This information will be used to verify your information and determine eligibility to access the content protected on this site. (Note: The year you joined LSC is not a disqualifying factor with member access.)

First Name.....:  MI.: 
Last Name......:

Address 1......: 
Address 2......: 
City/State/Zip.: ,

Telephone Number...: --
Joined LSC in year.:

Part II - Please choose a password to access the website with. This must be at least 5 characters, and up to 20 characters long. This password is not necessarily secured and should only be used for access to this site.

Password...: 
Verify PW..:

Part III - Please select the following club communications you want to receive via email. (We strongly suggest selecting the newsletter so we can keep the costs of the club down by sending you an electronic copy.):

	 Newsletter		 Meeting Reminders

Part IV - Please provide your email address so that we can inform you of your website account status.

Email Address..:

The form will be processed immediately, but it may take several weeks for your application to be approved and for us to respond back to you.

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