New Member Application No need to print out, just fill in this form online and click Submit Company Date First & Last Name * (as you would like it on your engraved badge) Spouse/Other * Email Address * Phone Number * Enter the 10 numbers, no brackets, no spaces Longshore Lake Address * Seasonal? Yes No Which months away Address Away Email Away Longshore Lake Lot # * Birth Month & Day * Areas of Interest in LLWC *