Membership Type of Membership*Recurring (Renews Annually)One YearLPRI MembershipThis membership renews automatically on an annual basis. Price: $15.00 LPRI One Year MembershipThis membership will expire in one year. Price: $15.00 Additional DonationIf you would like to donate in addition to your annual membership please enter the amount here. Member InformationEmail* Name* First Last Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code State and Federal Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation. Contributions are not tax deductible.Employer*Job Title*PaymentTotal $0.00 Membership dues including Donation. Only dues renew anually. Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name Verify Membership* By joining the LPRI, I certify that I oppose the initiation of force to achieve political or social goals. This iframe contains the logic required to handle AJAX powered Gravity Forms.