LRA Join Form

HAVE YOU JOINED?? PRINT AND MAIL THIS SECTION to:

LRA:
6100 Leavenworth Road
Kansas City, Kansas 66104

NAME:
(include additional household names)

ADDRESS:

ZIP:

PHONE:

FAX:

Email:

Residential member ($12.00/ year, includes all in one household) ____
Business member ($75.00/ year) ____
Non-profit Organization ($30.00/ year) ____

The LRA is a non-profit organization, with a 501c designation from the IRS