This application is for 2017-2018 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 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.
I am interested in helping with one or more of the following committees.
I am paying by... *
Digital Signature *
Digital Signature
Membership constitutes agreement to the LCSC Constitution & By Laws.