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Use this form to provide payment for your LSBA membership dues.
If you are renewing, please use the renewal form.
| Doing Business As: | |
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| Street Address | |
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| Other Information | |
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| # of Employees: | |
| Credit Card Information | |
| Your credit card information will be transmitted to LSBA via a secure internet connection. | |
| Billing First Name: | |
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| Membership Dues $100.00 Annually Dues to LSBA are not deductible as charitable contributions for federal income tax purposes. Dues may be deductible as an ordinary business expense. |
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