Join the League Form

League of Women Voters^®
of Placer County

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

Comments, suggestions, questions? Contact our webmaster. Last revised: August 14, 2010 16:37 PDT.