ILA Membership Application Form

International Legacy Association Inc. (I.L.A.)
International Legacy Association Inc. (I.L.A.) is a registered non-profit organization with headquarters in Florida U.S.A. Our vision is to provide members with access to programs and support to achieve desire life skills, personal development, financial health and to provide opportunities for persons to contribute to the community. The dues of this organization shall be $120 annually, payable of 4 payments of $30 US or equivalent on the 1st of every quarter. A member can pay in full annually for a special amount of $100 US. Members can choose to cancel within 3 days for a full refund. Please note that dues are a necessary part of running our association, assisting with our programs, and community outreach
Membership Application Form

To apply for membership please complete all questions.
Date

MonthDayYear
Date
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Phone Number
Gender

MaleFemaleN/A
Marital Status

SingleMarriedSeparated/DivorceWidow/Widower
TYPE OF MEMBERSHIP

MemberMonthly Donor/SponsorVolunteer For Community Outreach
Are you affiliated with any other club/organization? If yes, please provide the name
How did you hear about I.L.A.?

ReferralFacebookInstagramLinkInTwitterYouTubeCommunity Event
Membership Type
prevnext( X )
1 Year Membership Pay all at one time with the application
$100.00

Quarterly Payments$120 annually, payable of 4 payments of $30 US or equivalent on the 1st of every quarter per year.
$30.00
I have read the mission statement, purpose, disclaimers, member benefits, rules and acknowledge and accept.
Signature Date*

MonthDayYear
Date
Signature

Clear
Should be Empty: