This application is for 2018-2019 Membership to the Lewis Community Spouses Club. Membership is $25 annually. When you are finished filling out this form please make sure you click the submit button. Once you submit please make sure you complete the PayPal process or your membership will be incomplete.

Name *
Name
Birthday
Birthday
Year optional
Phone Number *
Phone Number
Address *
Address
I am the spouse of an active duty or retired service member. *
I was a member of LCSC last year. *
I am interested in helping with one or more of the following committees.
I am paying by... *
2.9% processing fee for PayPal & credit payments
Digital Signature *
Digital Signature
Membership constitutes agreement to the LCSC Constitution & By Laws.