Membership Application LAKE COUNTY FARM HERITAGE ASSOCIATION, INC. 1801 Magnolia Ave Gurnee, IL 60031 847-347-0740 Two Ways to Apply! 1. By Mail & Pay By Check Printable PDF – LCFHA Membership Application 2. Online & Pay By Credit Card or PayPal Dues*Individual 18 or Older $20Under 18 $5Membership Type*New MemberRenewing MemberName* First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* InterestsTotal $0.00 Click submit to pay with your own credit card or with your PayPal account.EmailThis field is for validation purposes and should be left unchanged. Share this:ShareFacebookTwitterEmailPinterestGooglePrint