Join The Lowcountry Parrothead Club

Have A Great Time While Helping Others

Single: Initial Fee $25.00 (Renewal each year $20.00) Includes one year membership for 1 person Plus a LCPHC T-Shirt and Koozie

Couple: Initial Fee $35.00 (Renewal each year $30.00) Includes one year membership for 2 people Plus 2 LCPHC T-Shirts and 2 Koozies

Are you joining as a couple?

First Name

Last Name

Birthday

Address

City

State

Zip Code

Email Address

Phone 1

- -

Phone 2

- -

T-shirt Size

Moved here from another club

Read about it in a publication

Found it on the web

Referred by current member

Other

First Name

Last Name

Birthday

Phone 1

- -

T-shirt Size

Print out a form and mail it in or bring it to our next meeting.
Form (PDF)

Mail to:
LCPHC c/o D. Clodfelter 308 Stinson Dr. Charleston, SC 29407