This application is automatically
submitted via e-mail after you click "Send Application To LIC"

Applications can take up to 48 hours and longer  to be approved.

Please read the LIC Guidelines before choosing to become a member.

If your using AOL please send a email to LIC Staff and the application will be sent to you.

Name:                                                                                            *last name not required*
Preferred Member Name:                                                          
Server Assigned E-Mail Address: (not a hotmail or Yahoo address, this will speed up the process of your application)                                                                                                                                           P     p 

 Preferred E-Mail To Use For LIC:                                                                                                                  Where Are You Located:                                                               

How Did You Discover LIC:
Word of mouth?
Advertising in area?
Web surfing on other sites?
Stumbled on LIC site?
Invite by member or owner of LIC? Members Name:
Other.

What Age Group Do You Fall Into:
 20-34?
 35-50?
 Wise beyond my years.

My Relationship status is currently:
Single
 Partnered

I was born a female  Yes No

I have read the LIC Guidelines Yes No

Anything else about you that you would like to add?
*300 words or less*

 

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Please Note:  Its at the discretion of the LIC Staff if your application is accepted.