Please print out this page and fill out this Membership Application Form and mail with your check to:
Name________________________________________________________
Name(s) of additional member(s) in household__________________________
Address______________________________________________________
City_______________________________ Zip Code __________________
Phone (home)___________________
Phone (work/day)_________________
Cell phone_______________Email address____________________________
Amount enclosed $______________________
($55.00 one member. $75.00 two members same household. Other available membership categories: Student Membership ___ $30, Sustaining Membership ___ $100 ___ $150 ___ $200 other-specify amount $_____.
Dues are not tax deductible. Please make out the check to: League of Women Voters of the Midland Area
)
Comments (e.g. interests, how you heard about the League)
____________________________________________________________
____________________________________________________________
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League of Women Voters of the Midland Area, Michigan. All rights reserved.