Membership includes access to the "Member's Only" section of our website.
Send this form with your annual dues to:
LRCGS, INC. c/o Wynell Choate
P.O. Box 288
Ashdown Arkansas
71822
Date________________________
Name _______________________________________________________
Last First Maiden
Address ____________________________________________________
State,Zip __________________________________________________
E-Mail __________________________ _________________________
Phone #
Family/Household Membership_______________$20 (ex.husband/wife)
Single Membership________________$15
Quarterly Query yes/no
(Attach query to back of this form.)
Donation___________________
