LRFA
Latvian Relief Fund of America, Inc.
Mutual assistance and trust since 1952
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New Card Request Form

Membership Card If your Member ID card is lost or stolen or you need a new card for some other reason, please fill out the form below. A new card will be sent to your current address.

Red indicates a required field.

First Name
Last Name
Middle Initial
Membership #
Date of Birth (mm/dd/yyyy)
Address
Address (line 2)
City
State
Zip Code
E-Mail Address
Telephone

 

 

© 2005 LRFA, Inc.   -   P.O. Box 8857, Elkins Park, PA 19027-0857   -   lrfa @ lrfa.org

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