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* Mandatory fields
*First name
* First name is a required field
Middle Name
*Last name
* Last name is a required field
* Email is a required field
* Street address is a required field
* City is a required field
* State is a required field
* Zip is a required field
Phone Home
Phone Cell
Phone Work
*Newsletter Delivery
* Newsletter Delivery is a required field. Please let us know how you would like to receive the League newsletter.
2nd First Name
If applying for a Family (2 people) membership, please enter the 2nd person's first, middle (if desired) and last name. And their email, if different.
2nd Middle Name
2nd Last Name
2nd Email
Please select one or more genres of interest
The League is an all volunteer organization and is always grateful for helping hands. Let us know if you'd like to get involved!
Let us know how you heard about the League
*Amount ($USD)

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