Membership

APPLICATION FOR MEMBERSHIP

Name:           ________________________________________

Address:      ________________________________________

________________________________________

E-Mail:         ________________________________________

Phone:         ________________________________________

I would like to become a member of LAPA at the following level:

____     Individual Member    $35

____     Corporate Member     $100

____      Family Member           $ 50

____      Other                               $ _____

Please E-Mail this completed form to : lapasd73@yahoo.com.  OR

Please make check payable to LAPA:    2647 El Granada Road, Chula Vista, CA 91914