LLTL DROP/ADD FORM
Fall Deadline: August 31, 2007
Spring deadline:  January 31, 2008
Captain's Name:  _____________________________ Day: ________ Team: _________  
Dues are $12.00 per member.  Enclose ONE check made payable to LLTL.
Mail to Ginger Hebert, 410 Monteigne Drive, Lafayette, LA  70506
DROP:
 Name
 
 
 
 
 
ADD:
Name Address City Zip
       
Home Phone Alt Phone
   
Name Address City Zip
       
Home Phone Alt Phone
   
Name Address City Zip
       
Home Phone Alt Phone
   
Name Address City Zip
       
Home Phone Alt Phone
   
Name Address City Zip
       
Home Phone Alt Phone