LIADO Membership Form
Please submit your dues payment of $40 when filling out this form. Payment can be made via check, cash, or PayPal at www.PayPal.me/liado1993 NOTE - when paying via PayPal, please add $1 for processing fees.
Payment of $40 is due with your membership form when joining January - September and only $20 when joining October - December of each year.
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First Name *
Last Name *
Email *
Address *
Home Phone number
Cell Phone Number
Occupation
Husband's Name
Date of Birth
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Areas of Italy Family is From
Volunteer Opportunities You Are Interested In
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