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Membership Application
To join Louisiana Claims Association, simply complete the following contact and credit card information.

State Membership Package: Membership in LCA includes: Continuing education opportunities at the Annual Convention, providing opportunities to earn CE credits in multiple states; discount registration fees to attend the annual convention, newsletters to keep you up-to-date on current events in the industry.
Local Chapter Membership Package: State Resident members must join both the state and at least one Local Chapter Memberships. Membership in a Local Chapter includes opportunities to network with your peers at scheduled events throughout the year in a city near you. Local events can include luncheons, socials, golf tournaments, etc.
Non-State Residents may join for a fee of $50, but do not have to join a local chapter.
Privacy Notice: Your credit card information will be used to cover the cost of this one purchase and will not be shared with any third party.
 *Name  
Company  
 *Address  
 *City  
 *State  
 *Zipcode  
 *Phone  
Fax  
 *Email  
Indicate Specialty
 
  WC
  Property
  Casualty
  Other
Certify
 
  I certify that I am principally engaged in or retired from activities that assist or promote the handling of claims or who provide services in support of the handling of claims in the insurance industry.
DUES
 
  State Dues (Required) - $50.00
  Baton Rouge Claims Assoc. - $15.00
  Central La. Claims Assoc. - $15.00
  Lake Charles Claims Assoc. - $15.00
  New Orleans Claims Assoc. - $35.00
  Northwest La. Claims Assoc. - $10.00
  Southwest Claims Assoc. - $15.00
  Non-State Resident - $50.00
 *Charge Amount  
 *Credit Card #  
 *First Name on Credit Card  
MI on Credit Card  
 *Last Name on Credit Card  
 *Exp. Month  
 *Exp. Year  
 *Billing Address  
 
 *City St, Zip  
 *  *
 
  * Indicates required fields
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