Name *

Name

First Name

Last Name

Maiden Name

Birthday

Year optional

YYYY

Phone Number *

Phone Number

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Email Address *

LCSC will never sell your information third party organizations. A copy of The Soundings (monthly newsletter), when published, will be sent to this email address. *Mail sent to us.army.mil OR .mail.mil address may not be received if identified as spam.

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I am the spouse of an active duty or retired service member. *

Yes

I was a member of LCSC last year. *

Yes

I would like to be included in the 2017-2018 Membership Directory.

By selecting yes, you give your permission to have your name, address, phone number, and email address published in the LCSC membership directory. You understand that the directory is for private use only and information within is for personal use only and not for distribution to those other than LCSC members. Under NO circumstances is the LCSC directory to be used to for invite lists, to solicit business, etc. *The deadline is December 2017.

Yes, I would like to be included in the membership directory.

No, I DO NOT want to be included in the membership directory.

I am interested in helping with one or more of the following committees.

Hospitality

Mock Dining In

Annual Fundraising Event

Cottage Boutique

Operation Deploy Your Dress

Welfare (Community Grant requests)

General Support

I am paying by... *

PayPal/Credit

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Digital Signature *

Digital Signature

Membership constitutes agreement to the LCSC Constitution & By Laws.

First Name

Last Name

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