* required information  

Just complete this form and click on 'Submit Membership Form' when ready to send.  Note:  You must be at least 18 years or older to be a member. 

* Includes ONE membership.  Please indicate member's name below.

$15 Student         $15 Senior 62 +        $25 Individual

Includes up to TWO memberships per household.  Please indicate member's name(s) below.

$50 Copper     $100 Bronze             $250 Silver       $500 Gold          $1,000 Platinum

Member 1

*First Name:    *Last Name:

Member 2

First Name:    Last Name:

*Address:     *City:  *State: *Zip Code:

    YES, send my LHS membership renewal, newsletter and event updates via Email.                                  

Home Phone:      Email Address:  
                                                                                 

* Payment method:  Check         Cash         Visa         Mastercard

Credit Card #:   Expiration Date:

Signature: (required for in-person credit card payment only)

Payment Made:  On-line using PayPal:      Pay in person:      Pay by mail: