The Lebanese American Association

LAA Membership is open to any individual and family members of a Lebanese descent, with an annual membership fee payment of $100. If you wish to become a member, please fill out the following form.

First Name: *

Spouse Name:

Status: Single Married

Child/Children Name/s and Ages:

Address: *

City: *

State: *

Zip: *

Phone Number: *

Cell Number:

Email: *

Fax:

Other:

Country of Origin:

Town/City:

Are you interested in becoming active in the association?

Yes No Currently Active

Payment Options: *

Paypal:

Credit Card:

Personal Check or Money: