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703-768-5219
7000 Canterbury Lane Alexandria, VA 22307
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Single Season Leased Membership Application
New Leased Membership Application
Fill out this form if you are leasing a membership for the season and we’ll get back to you shortly!
Hidden
Account Types
*
Offered Membership - Renter
Single Season Leased Membership Application
Primary Member Name (leasing family)
*
First
Last
Primary Member Email (leasing family)
*
Primary Member Phone (leasing family)
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
LHP Membership Name: (Family you are renting from)
*
LHP Membership # (if known):
Email Address (Family you are renting from)
Phone (Family you are renting from)
Username
*
This is what you will use to log into your account.
Password
*
Enter Password
Confirm Password
This is what you will use to log into your account.
Single Season Lease Fee
Price:
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Expiration Date
Security Code
Cardholder Name
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