Apply for Membership

To apply for your organization's membership with LAHP, please complete the form.  Afterward, you will have the option of submitting payment for your annual dues online.  You may also choose to pay by check or speak with a LAHP representative about payment.  Please note that filling out an application does not guarantee membership.

To discuss membership information, contact LAHP or call (225) 706-5522 to arrange for discussion with an LAHP representative.  Please include your name, address and phone number in any written inquiries.

 

 
Name of Primary Contact *
Name of Primary Contact
Address
Address
Phone Number *
Phone Number
Cell Phone
Cell Phone
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Areas of Interest
Please select the LAHP committee(s) in which you are interested in participating.