MEMBERSHIP FORM

JOIN LCHE

To join LCHE print out the following form. E-mail us below for the address to mail
your completed form and dues to. Dues are $12.00 per year, which cover your membership from 7/1/97 to 6/30/98.
Due allow you the following benefits: bimonthly newsletter; access to LCHE activities; a $15.00 discount for your
HSLDA membership; access to sell used curriculum at our Used Curriculum Corner;
discounted admission to our annual winter conference
and discounts with several area merchants.

LCHE MEMBERSHIP FORM
Please complete all the information, requested below, completely. This will allow us to be sure you get all your membership benefits
LAST NAME:

HUSBAND'S FIRST NAME:

WIFE'S FIRST NAME:

PHONE NUMBER (INCL. AREA CODE):

HOME ADDRESS - STREET:

CITY, STATE, ZIP:

E-MAIL ADDY:

SCHOOL NAME (IF APPLICABLE):

CHID(REN)'S NAMES & DOB'S:

ADDITIONAL CHILDREN:

ADDITIONAL CHILDREN:

LCHE MEMBERSHIP FORM
Please complete all the information, requested below, completely. This will allow us to be sure you get all your membership benefits
LAST NAME:
HUSBAND'S FIRST NAME:
WIFE'S FIRST NAME:
PHONE NUMBER (INCL. AREA CODE):
HOME ADDRESS - STREET:
CITY, STATE, ZIP:
E-MAIL ADDY:
SCHOOL NAME (IF APPLICABLE):
CHID(REN)'S NAMES & DOB'S:
ADDITIONAL CHILDREN:
ADDITIONAL CHILDREN:

E-MAIL FOR ADDRESS

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