Join the League Form
Please print out this page and fill out this Membership Application Form and mail with your check to:
League of Women Voters of Placer County
P.O.Box 836, Loomis, CA 95650
Membership Application Form
Name________________________________________________________
Name(s) of additional member(s) in household__________________________
Address______________________________________________________
City_______________________________ Zip Code __________________
Phone (home)___________________
Phone (work/day)_________________
Cell phone_______________Email address____________________________
Amount enclosed $______________________
($60.00 one member. $90.00 two members same household.
Dues are not tax deductible. Please make out the check to: League of Women Voters of Placer County
)
Comments (e.g. interests, how you heard about the League) ____________________________________________________________
____________________________________________________________
I'm unable to join the league at this time, but enclose a contribution of $_______.
My interests include:
____ Program/Action ____ Study Committees
____ Voter Services ____ Special Projects
____ Fundraising
Thank you! The League will help you...
o Be more informed about decisions you need to make that shape your community.
o Work on issues that directly affect you, your family and your community
o Become a problem solver
o Vote smart by being a smart voter through understanding the issues and how they effect your life.
League of Women Voters Membership Form
Contact us for more information.
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webmaster.
Last revised: August 14, 2010 16:37 PDT.
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League of Women Voters of Placer County, California. All rights reserved.
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