Membership Application

"*" indicates required fields

Membership Level*
Primary Contact Name*
Address*
What is your preferred communication method?
Which of the following best describes your race or ethnicity?
Are you of Hispanic, Latino or Spanish origin?
Are you a certified MWDBE (Minority-, Woman-, Disadvantaged-owned Business Enterprise) business?
Does your household or business rent or own your property?
If you're a resident, select your household size:
If you're a business, how many people do you currently employ?
Are you interested in getting involved with LC's Advisory Committees?
Membership Agreement*
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