To become a member of the Southwest Louisiana Historical Association, please print this form, fill it out, and send it with a check in the appropriate amount to:                                                                                            

                                                                                                                    

Southwest Louisiana Historical Association                                                                         

George Ann Benoit, Treasurer                                                                                                

4201 Alma Lane      

Lake Charles, LA  70605                                                                                                                                                                            

 

Dues (check one): 

 

Individual  $10    
Family    $15  
Sustainer  $25   
Corporate $50  
Lifetime $100  

 

 

Name  
   
Address  
   
   
   
Telephone   

 

             

For more information please call 337-478-5753 or 337-475-5734.