Membership Sign-Up Form
Register as a LFHL member to receive exclusive perks like: LFHL monthly newsletter, discounts on events and workshops, access to admission counselors, networking opportunities, mentorship priority, and MORE!
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Current School
*
Please indicate your current school.
Program(s) of interest
*
Which academic roadmap(s) would you like to receive? (Pick up to 3)
Pre-medical
Pre-dentistry
Pre-physician assistant
Pre-pharmacy
Pre-physical therapy
Pre-occupational therapy
Pre-nursing
Other
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Membership Fee
*The yearly membership fee must be renewed every year.
$25.00
$
25.00
Quantity
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10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
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