Los Angeles Society for Coatings Technology

(714) 998-1891 lasct@earthlink.net

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Membership Application and Renewal

Step 1 – Please fill out the form below

Membership Type:*
- Renewal
- New Member Application
Member Name*
Email*
Company*
Position*
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Business Phone*
Personal Phone*
I am a:*
- Coatings Manufacturer
- Material/Equipment Supplier
- Consultant/Service Provider
- Educator
- Student
I would like to be considered to serve on the following committee(s):
- Audit
- Const. By Laws
- Computer
- Education
- Environmental
- Entertainment
- Library
- Manufacturing
- Membership
- Photographer
- Publicity
- Scholarship
- Technical
- Yearbook
Would you present yourself as a candidate for office?*
- Yes
- No
Would you like to serve on a national committee?*
- Yes
- No
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The Los Angeles Society For Coatings Technology

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Contact Info

Address: LASCT Linda Rogers or Kim Mullen P.O. Box 3633 Orange, CA 92857 Phone: (714) 998-1891 E-Mail: lasct@earthlink.net

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