EmailMe Form - L.I.F.S. Membership

Name *
First Last
Company Name (Optional)
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email *
Phone Number *
### - ### - ####
Secondary Phone Number (optional)
### - ### - ####
Web Site (optional)
Country Representing *
Membership Fee
$ Dollars . Cents
Payment Method *
Pay Pal (Please click on the "Buy Now" button when back to our website)
Cheque
if paying by cheque, please forward your payment to:

Langley's International Festival
Unit 1 - 20059 92A Ave
Langley, BC
V1M 3A5

***By clicking the "Submit" button, your information will be sent by e-mail to us, and you will be immediately sent back to the Membership page of our website.***