Join LILA

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]

Download Mail Form

Mail To:

Long Island Limousine Association
P.O. Box 148
Massapequa Park, NY 11762