Fill out the form below or print and mail form to: LIPC, 90 Pennsylvania Avenue Massapequa, New York 11758
Membership Type Individual $35 Family $45 Contributor $50 Student/Low Income $15 Friend $100 Other
I wish to become a monthly sustaining member. My Monthly Pledge is for: $5 $10* $20* $50* $100* *Receive a FREE Tote Bag
Please send to me Short-sleeve Tee Shirt, white $15 Short-sleve Tee Shirt, black $15 Long-sleeve Tee Shirt, white $18 Long-sleeve Tee Shirt, black $18 Tote Bag $12 *Please add $2.50 for postage for all items
Method of Payment: Pay Online Mail a Check
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**LIPC is a 501(c)(4) non-profit non-partisan organization. Contributions are not tax deductible.