The LSU OMS Alumni Association appreciates the support of its members.  We thank you in advance for your contributions. To pay your dues, please click on the image below to download and print the Dues Statement Form:

LSU Alumni Dues Statement 2014

Please mail your form and payment to:

Dale J. Misiek, D.M.D.
8738 University City Boulevard
Charlotte, NC 28213 
If you have any questions, please do not hesitate to contact us.