My membership is: New Renewed Lapsed Please enroll me as a Member of LHR in the following category: $75 Friend $150 Friends/Duo $300 Founder $500 Patron $1,000 Fellow $35 Student* $5,000 Benefactors $10,000 President's Circle $2,500 Corporate Sponsors I would like to make an additional donation for $ All Memberships valid for one year from month of subscription. I wish to pay by: Check Credit Card Type Master Card Visa Number Exp. Date: Name: Mailing Address: City/State/Zip: Email: Home Phone: Business Phone: If this is a gift, please complete donor information below. Donor Name: Address: City/State/Zip: * Applications for Student membership must be accompanied by a copy of dated bursar’s receipt or current school I.D. LHR is a public foundation, and contributions are tax deductible to the fullest extent of the law.
