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Member Information

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First Name*

Middle Name

Last Name*

Address*

City*

State/Province*

ZIP/Postal Code*

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Phone

Membership Number

(if renewing)

Membership Options

Associate Member: $50

Individuals who wish to support the organization may become National Associates of LULAC by contributing a minimum of $50 annually to the National Office with approval by National Board of Directors or the National Executive Committee.

Lifetime Member: $1,000

A person may become a life member of the National Organization upon payment of $1,000 to the National Office.

Unit Affiliation Code

Billing Information

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Expires*

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Billing address same as member information?

Name on Card*

Cardholder Email*

Billing Address*

City*

State*

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Phone

* Required information

Membership

Member Information

Membership Options

Billing Information

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