[LWV] League of Women Voters®
of Placer County

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 write your 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.

We are a 501(c)(4) organization.

Comments, suggestions, questions? Contact our webmaster. Last revised: January 24, 2012 18:52 PST.

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