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LEBANESE AMERICAN WOMEN ASSOCIATION – LAWA MEMBERSHIP FORM

NAME (First, Last):

PHONE NUMBER:

EMAIL:

ADDRESS:

OCCUPATION:

ARE YOU OF LEBANESE DESCENT?

YES
NO

IF YES

MATERNAL SIDE
PATERNAL SIDE

NAME OF PARENTS:

ARE YOU MARRIED TO A LEBANESE?

YES
NO

IF YES PROVIDE SPOUSE NAME

ARE YOU ON THE EXCECUTIVE BOARD OF ANY LEBANESE NON-PROFIT ORGANIZATION IN N. CALIFORNIA?

YES
NO

IF YES, PROVIDE NAME AND ROLE (IF APPLICABLE):

ARE YOU ON ANY COMMITTEE OF A LEBANESE NON-PROFIT ORGANIZATION IN N. CALIFORNIA?

YES
NO

IF YES, PROVIDE NAME AND ROLE (IF APPLICABLE)

THE MEMBERSHIP FEES OF $75.00 CAN BE PAID VIA VENMO (@LAWA-USA) OR ZELLE (sflawa2020@gmail.com). PLEASE NOTE THAT YOUR MEMBERSHIP IS PENDING APPROVAL OF THE LAWA’S EXCECUTIVE BOARD AND MEMBERSHIP FEES PAYMENT.

Home
What We Do
- Our Impact
- Education
Membership
- LAWA Membership Form
- LYNC Membership Form
Events
- Current Event
About Us
- Our Partners
Contact Us

Donate

Home
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