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Individual Membership
Contact Information

Please fill out this form to begin the registration process.  Once you click "Submit," your information will be transferred to our database and you will then be redirected to our checkout page, operated by PayPal.  There, you can either complete your membership purchase with a debit or credit card, or through your PayPal account.  Your membership card will be mailed to you.

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First Name
Last Name

Please enter your e-mail address to receive special events and class information from Landis Valley
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code