Ladies Lotto Membership Application
Thank you for your interest in Ladies Lotto!

The following membership application is a requirement for participation on our group forum and community.

Everything you submit is confidential and will only be used for purposes of Ladies Lotto.

 
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>>>> There is no application fee but you will not be invited to join Ladies Lotto until we receive payment for membership <<<<

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*** Membership Dues Are Mandatory ***

To ensure quality and participation, Ladies Lotto charges membership dues. Membership not only includes access to this list - it also grants discounts and/or free entry to LL events (when applicable) in addition to other growing services we provide.

-- Annual Membership, $100-

https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=48VHNFYCP2CNW

OR

-- $15 monthly

https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=5666V6D2CK3VA

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**Please note that by submitting this form, you are agreeing to Ladies Lotto Membership Requirements.**

Ladies Lotto Membership Agreement - **PLEASE READ**

Ladies Lotto has rules and regulations all members must adhere to in order to make this a successful organization.
Please review the following and sign below to acknowledge your understanding of these rules and agreement to follow them.

Confidentiality
Confidentiality has to be an important foundation to an organization like Ladies Lotto.
In meetings, on our forum and the upcoming website personal, contact information, and exchanging of ideas must be respected and kept confidential. By submitting this application, you are committing to this confidentiality clause and recognizing that a breach confidentiality is grounds for immediate dismissal of Ladies Lotto and legal reprecussion.

Participation
Participation is key to the continued success of Ladies Lotto! Of course we realize that you are a productive and ambitious woman of the world and therefore, very, very busy!!

Grounds for dismissal
We are a group of amazing women who demand respect! Please note that the following activities are grounds for immediate dismissal:

Violation confidentiality agreement; any misuse of information and/or ideas that is exchanged during the meetings and message boards.
Posting junk mail
We expect all members to treat others and the organization with respect.
We will not tolerate misrepresentation of Ladies Lotto members, ideas and goals.
Please read more specific rules upon receiving an invitation to the group.


Ladies Lotto is an equal opportunity organization that does not discriminate against women because of age, race, color, creed, religion, disability, ethnic or national origin, or sexual orientation.

By submitting this application you agree to the terms above for the application process and membership in Ladies Lotto.
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Referring Member's First Name
A reference from a current Ladies Lotto member is strongly recommended but not required for application.
Referring Member's Last Name
A reference from a current Ladies Lotto member is strongly recommended but not required for application.
Referring Member's Email Address
A reference from a current Ladies Lotto member is strongly recommended but not required for application.
How Did You Hear about Us?
For those who do not have a reference from a current Ladies Lotto member
Last Name *
Personal Information
First Name *
Personal Information
Email Address *
Mailing Address *
City *
State *
Zip *
Chapter City
If None, Please Specify
Phone Number *
Birth Month *
Birth Day *
Birth Year *
Required, but will remain confidential. Please submit in 4 digit form (i.e, 1971)
Messenger Program
Screenname for Messenger
Professional Field
Employer *
Job Title *
Department *
College/University
Major/Concentration
What other activities are you currently involved in?
Submit
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