Primary Member Name *

First Name

Last Name

Spouse (Optional)

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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Membership Type

Only adult memberships are voting members, friends of the LLSBA is for non-breeding members and are also non-voting memberships. Pay by mailing check to Joan Henry, LLSBA Treasurer at 1795 Sugar Valley Rd, Albright WV 26519 or by clicking the link below to pay online.

Adult Membership ($25)

Junior Member ($10)

Friends of the LLSBA ($10)