Louisiana Campground Owners Association

P.O. Box 82856

Baton Rouge, LA 70884

Ph: 225-590-3084 * Fax: 225-590-3124

www.campinglouisiana.com

LCOA@cox.net

ASSOCIATE MEMBERSHIP APPLICATION

Annual Dues $200 July 1 - June 30

Membership in LCOA includes:

" Free listing on CampingLouisiana.com with link and business description

" Exhibitor Opportunities at Annual Convention

" Free Membership List

" Free insertion in Newsletter information in one Newsletter

Name ____________________________________________________________

Company _________________________________________________________

Address ___________________________________________________________

City ______________________________ State ____________ Zip ___________

Website ___________________________________________________________

Email _____________________________________________________________

Phone ___________________________ Fax _____________________________

Business Description (for website use - 25 words or less)

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

*Please complete this application and mail with your annual dues payment of $200*

Signature ________________________________ Date ___________________