Lifetime Membership Application (79 and under)
Lifetime Membership Fee: $600.00
Please fill out and submit the form below. Although it is not required to provide a phone number, if you choose to include a phone number with your application please submit your phone number without dashes, spaces or parenthesis (9999999999 format). You will be redirected to PayPal for dues payment upon submission. If you are not redirected to PayPal or experience an error message from PayPal, please use Google Chrome or Firefox web browser to complete the form. If you require further assistance, please contact the state office at 225-927-8837 or email@example.com.