Membership Application

LAKE COUNTY FARM HERITAGE ASSOCIATION, INC.
PO Box 52 Antioch, IL 60002

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 $20
- Under 18 $5
Membership Type*
- New Member
- Renewing Member
Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Interests
Total
$0.00
Click submit to pay with your own credit card or with your PayPal account.
Name
This field is for validation purposes and should be left unchanged.