LHC FY26 Membership Dues Invoice Request

This field is hidden when viewing the form

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.
Your Name(Required)
Your Email Address(Required)
Leadership Program
Please invoice me for the following membership level:
If Selecting the L500 Option (either $500 or $350 rate), please select below the preferred ticketing option:
Please note that the new L500 plus levels include ALL ACCESS to every LHC event in FY26 no ticketing option is needed. All L500 levels receive: Annual Dues (2025-2026) - Invitations to exclusive sponsor networking events - 2 X’s “Best Class Ever” points - Special “Leadership 500” name badge recognition