To request information fill out the form below. To download a member form go to the bottom of the page. Forms may be printed and mailed to the address below. You will be contacted as soon as possible.
To request information fill out the form below. To download a member form go to the bottom of the page. Forms may be printed and mailed to the address below. You will be contacted as soon as possible.
[contact-form to=’lilaboard1@gmail.com’ subject=’New Member Request’]
[contact-field label=’Company’ type=’text’ required=’1’/]
[contact-field label=’Name’ type=’name’ required=’1’/]
[contact-field label=’Email’ type=’email’ required=’1’/]
[contact-field label=’Phone Number’ type=’text’ required=’1’/]
[contact-field label=’Address’ type=’text’/]
[contact-field label=’Town’ type=’text’/]
[contact-field label=’State’ type=’text’/]
[contact-field label=’Zip Code’ type=’text’/]
[contact-field label=’Subscription’ type=’radio’ required=’1′ options=’Member,Associate’/]
[contact-field label=’Website’ type=’url’/]
[/contact-form]
(Right Click Save Target/Save As To Download)
(Right Click Save Target/Save As To Download)
Long Island Limousine Association
P.O. Box 148
Massapequa Park, NY 11762