[Company Logo Image] Lebanese - American Club Of Michigan
P.O.Box 1452
Warren, MI 48090
Phone (586) 447 2263
E-mail  Antoine Greige
 

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Standard Application: 

Please print and fill out the membership form below and mail it to the address above or scan and email to Antoine Greige

Membership Form (PDF File)

 

Electronic Application

Please fill the form below and click the Submit Button to send it electronically to us:

 

Full Name:

   Phone Number:  
 
Street:  
City:   State:   Zip:     
Email:  
  
Date of Birth:   / / Place of Birth:  
 
Occupation:   Company:  
  
Spouse Name:  

Occupation:

 

Children's Names:  
   
Hobbies:  
  
Sponsored By:

 
Applicants must be sponsored by one or more current LACOM members;
Others will not be considered.