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Join Or Renew Your Membership In The LRA
There Is Strength In Numbers - Increase Your Voice!

You can join the Louisiana Retailers Association or renew your membership using our secure form here online, or by calling us at 225-344-9481 or Toll Free at 1-800-572-2378, or you can print and mail your application and check to the address on the application.

To open and print our paper application, you will need the Adobe Acrobat Reader. If you do not already have the Acrobat Reader installed, you can get it FREE at the Adobe website.   



NOTE: All fields marked • are required.
Billing Information
Your complete name as it appears on your
credit card and billing address information.
First Name:   •
Last Name:   •
Corporate/
Company Name:		   •
d/b/a Name
(if applicable):		  
Address:   •
 
City:  •
State:  •
Zip Code:  •
Telephone:
(with area code)		  •
Facsimile:
(with area code)		 
E-mail:  •
Type of Payment
Please indicate whether you are a new member
or renewing your present membership.		   •
New Member Renewal
Company Information
Type of Business:  •
Number of Locations:  •
Number of Employees:  •
Parish:  •
Primary Contact:  •
Position:  •
Website Address:
(if applicable)		 
Is this the company home office? •
Yes No
If not, address of the company home office.
 
Name of individual to receive annual renewal invoice. •
 
Individual's address (if different from above)
If you have more than ONE location and would
like them to receive association mailings, please
provide each location's name and their address,
phone and fax numbers and key contact.
Payment Information
Membership Dues Amount

New members, click here.

Renewing members, click here.
Amount Paid
(without the $ - example: 100.00)
•
Credit Card Information

Card Type
(please select)
•

Card Number
(do not use spaces or dashes)
•

Expiration Date
(please select)

Month: • Year: •
Plese Let Us Know How You Heard About Us
Comments
Thank you for your application or renewal.