Membership (Join LHA) |

Fill out this form to request membership in the Leftwich Historical Association.
*** Note, after filling out this form you will be directed to a website to pay your dues of $25.00. ****

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Name:*

Email:*

Spouse:

Address:*

City, State, Zip:*

Telephone:

Occupation:

Special Interests:

Please list your Leftwich family line for the Association's Genealogical records: (enter "unknown" if not known)

Parent:*

Grandparent:*

Great Grandparent:*

G/G grandparent*

G/G/G grandparent:*

G/G/G/G grandparent:

G/G/G/G/G grandparent:

Others:

I would be interested in volunteering my services to the work of the LHA by serving on one of the following committees:
Committee:

Cemetery
Editor
Historical Home Preservation
Web
Membership
Research
Reunion
What's my Line

The Leftwich Historical Association is a non-profit organization devoted to assembling and preserving genealogical and historical information pertaining to the Leftwich family.

Membership (Join LHA)

Please list your Leftwich family line for the Association's Genealogical records: (enter "unknown" if not known)

I would be interested in volunteering my services to the work of the LHA by serving on one of the following committees:
Committee:

Cemetery
Editor
Historical Home Preservation
Web
Membership
Research
Reunion
What's my Line

Your Cart

Please list your Leftwich family line for the Association's Genealogical records: (enter "unknown" if not known)

I would be interested in volunteering my services to the work of the LHA by serving on one of the following committees: Committee: Cemetery Editor Historical Home Preservation Web Membership Research Reunion What's my Line

Your Cart

I would be interested in volunteering my services to the work of the LHA by serving on one of the following committees:
Committee:

Cemetery
Editor
Historical Home Preservation
Web
Membership
Research
Reunion
What's my Line