One moment please...
LCCA Membership
Contact Information
Name
*
Prefix
First Name
Last Name
Suffix
Spouse's Name
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Email
*
Verify Email
*
Phone
*
Membership Level
*
$35
-
Individual Membership
$60
-
Family Membership
$100
-
Friend of the Arts Membership
$250
-
Donor Membership
$500
-
Patron Membership
$1,000
-
Benefactor Membership
$2,500
-
Director's Circle Membership
$
Donation Schedule (if you choose an annual schedule, your credit card will be billed annually for your selected membership level)
One Time
Yearly
Continue donating until
(mm/dd/yyyy)
Updates?
*
How would like to receive our quarterly newsletter?
Electronically (Email)
Regular Mail
I prefer not to receive any updates
Add 3% to my total amount to help cover the payment processing fees. This greatly reduces expenses for the LCCA and makes sure that all our your gift goes to supporting our great work in the community!
