LICA
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MEMBERSHIP INFORMATION & BENEFITS
INDIVIDUAL MEMBERSHIP
Annual $150 Fee includes:
  • All breakfast meetings at no charge
  • Membership badge
  • A membership listing and company description on the LICA web site
The membership year runs September 1 - August 31. Membership rates can be prorated
All individual memberships are only for the person whose name the membership is registered under. However, as a member, it is your privilege to send someone in your place free of charge if you cannot attend an event. If this should occur, please contact our office in advance in order for us to register the attendee who will be taking your place.

CORPORATE MEMBERSHIP
Annual $400 fee includes:
  • Three members from your organization
  • All breakfast meetings at no charge
  • Membership badges
  • Membership listings and company description on the LICA web site
  • Company listing as a supporter of LICA
Corporate membership will expire one year after the date joined.

ADDITIONAL INFORMATION
BREAKFAST ATTENDANCE: Please give us a courtesy call prior to each breakfast to let us know if you will be in attendance.
Also, please keep us abreast of any address, e-mail, phone, fax, or web site changes so that we can continuously keep our records up to date.
Should you have any questions, please feel free to contact us at any time by phone 516-338-1801 or e-mail: info@licapital.org
If paying by check please send payment to:
Long Island Capital Alliance
c/o Francine Scuderi
Davidoff Malito & Hutcher LLP
200 Garden City Plaza (Suite 315)
Garden City, NY 11530
Phone: 516-338-1801
Online membership payments can be made by entering a VISA, MasterCard or AMEX number. Simply complete the form and submit!
MEMBERSHIP FORM: ALL FIELDS REQUIRED
Membership type:
Primary name:
Primary Title:
Company name:
Business Address:
City:
State:
Zip Code:
Telephone:
Fax:
E-Mail Address:
Corporate Web Site: (URL)
Product or Service Description: (50 word max)
Payment Information:
Check to follow   Bill my credit card
You may also print a hard copy and fax to
631-261-0290
Credit Card Type:
 Visa    MasterCard    AMEX
Card Number:
Expiration Date:
Name of Card Holder:
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  Copyright © 2007 Long Island Capital Alliance.