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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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.PhoneThis field is for validation purposes and should be left unchanged. Δ Share this:ShareFacebookTwitterEmailPinterestPrint