Join the Lone Star Chapter today and get these GREAT benefits:

1. A year subscription to the award-winning LSC newsletter The Dispenser

2. Membership directory and membership badge

3. Invitation to all Lone Star Chapter activities including the annual Christmas Party and more...

4. Increased opportunity for buying, selling and trading soft drink collectibles

Fill out the membership information below...it will allow us to get you on our mailing list immediately. 
After submitting this form, mail a check for dues ($30 for a Family Membership, $25 for a Single Membership) to:

Treasurer                                                 
Lone Star Chapter
1111Edgar Ave #B-8                       
Roncevort, WV 24970

Primary member information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
Date of Birth
E-mail

Spouse Name:

Name
Date of Birth

Child 1:

Name
Date of Birth

Child 2:

Name
Date of Birth

Child 3:

Name
Date of Birth
New Membership            Renewal Membership

 

 

 

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Copyright © 2007 Lone Star Chapter. All rights reserved.
Revised: September 13, 2009