Membership 2024-2025
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Email *
First Name *
Last Name *
Your full name HOW YOU WOULD LIKE YOUR ADDRESS LABEL PRINTED (include title) (Ex. Mrs. Bethany Member) *
Is this a new membership or renewing? *
Occupation: Retired; Community volunteer; or list other
Address (Street or P.O. Box--use PO abbreviations please) *
City *
State (post office abbreviation please) *
Zip Code *
Primary Phone number *
Alternate Phone Number
Email Address
Preference
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Spouse's Occupation
Spouse's Name
Children under 25 years old residing in Lee County (name/male or female/date of birth/grade in school)
GRANDCHILDREN under 25 years old residing in Lee County (name/male or female/date of birth/grade in school)
Please check the committees on which you would like to serve.  Volunteering is very rewarding!
PAY HERE
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If your payment name is a business or different name than what is listed as membership, please let us know here:
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