Membership Form
Please complete the form below, then press Submit. Required fields are marked with a red *.

Since we are unable to accept membership fees online, please send your check (payable to: LCAFCS) for $25 to: Pat Konon, 4027 Blue Rock Rd., Washington Boro, PA 17582. Include a note with your name, indicating that you completed the form online. Thank you!
Name * Last:   First:   M.I.: 
Home Address Line 1 *
Home Address Line 2 
Home City *
Home State *
Home Zip Code *
Home Phone *
Home Email Address
Present Occupation *
Place of Employment *
Work Address Line 1
Work Address Line 2 
Work City 
Work State 
Work Zip Code 
Work Phone 
Work Email Address 
If an educator, are you the lead teacher/department chair in your department?   Yes No

Schools attended
with degrees

Members are asked to serve on at least one committee. Indicate your preference by ranking your first three choices:
Historical records: Be responsible for the keeping of written records and all publicity clippings as well as photos of the Association's activities.
Hospitality: Be responsible for providing refreshments when needed at meetings and greeting members at scheduled meetings.
Membership: Be responsible for promoting membership.
Newsletter: Help gather information for the newsletter; help with printing and mailing.
Nominating: Prepare a slate of nominees for the executive officers.
Publicity: Be responsible for contacting local news media to publicize our programs.
Scholarship: Help in selecting the recipient(s) of the scholarship.
Yearbook: Be responsible for the planning and publication of the yearbook.
 
      
We welcome your comments and suggestions. Contact webmaster@lcafcs.org