LOUISIANA SHRIMP
ASSOCIATION
P. O. Box 1088, Grand Isle, Louisiana 70358
PHONE: (985) 787-3464 FAX: (985) 787-2965
E_Mail: shrimp@mobitel.com
Dean Blanchard, Treasurer
Related Business Membership Form 2003
THIS FORM MAY BE USED TO SEND A DONATION TO THE ASSOCIATION
L.S.A. needs the support of related businesses in order to fulfill
the goals of the Association and sustain the commercial shrimp industry of Louisiana and the United States.
By giving a contribution of at least $250.00 or more, you become a Member in Good Standing
and are entitled to vote at our General Membership Meeting.
Please print this form, fill it out and make your check or
money order payable to: LOUISIANA SHRIMP ASSOCIATION.
Mail To: P.O. Box 1088 Grand Isle, Louisiana 70358
____$250.00 ____$500.00 ____$1000.00 ____OTHER
__FUEL DOCK __ICE HOUSE __HARDWARE STORE __GROCER
__BANK __OTHER
PLEASE HELP BY SUPPORTING OUR COMMERCIAL FISHING INDUSTRY!
DATE_____________
NAME:______________________________________________________________
BUSINESS NAME:____________________________________________________
MAILING ADDRESS:__________________________________________________
CITY:___________________STATE:________________ZIP:__________________
PHONE:______________FAX:______________E-MAIL:______________________
LSA THANKS YOU FOR YOUR SUPPORT!
| Home | Events | More News
|