Membership

Membership

Please, fill in each box and then print the form. Mail it with your check or money order to the address provided below. Do not send cash.

L. A. Geographical Society Membership Application Form

Please make checks payable to LAGS.

Mail to: LAGS, Box # 1259

855 N. Vermont Ave., Los Angeles, CA 90029

Membership Application/ Renewal Form

New Application Renewal Address Change

Name: Phone: Date:

Address:

E-mail:

Type	Qty	Dues	Subtotal	Scholarship donations are tax-deductible. Other types: Life, $150; Patron, $1000, Benefactor, $5000. Please make checks payable to LAGS* Mail to: LAGS, Box # 1259 855 N. Vermont Ave., Los Angeles, 90029
Student		$5
Senior		$10
Regular		$15
Family		$20
General Fund
Other**
$cholarship Donation*
Money Order Check # Total

Name of recruiting LAGS member

(if any):

Please contact me, I want to volunteer to be an LAGS: Officer Councilor

Other

Please contact me, I have things to donate to LAGS for door/raffle prizes.