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LERMA - Membership Application

Please complete the below information.  Your email will become your user name for signing into the MEMBER AREA.  After completing this form, click "REGISTER" at the bottom.  An email will be sent to a member of our LERMA Board.  Once confirmed that your agency dues are paid for the year, you will then be approved to access the MEMBER AREA.  You will receive an email once the approval has been granted.

Please include street address, city, state, and zip code
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