[LWV] League of Women Voters®
of the Midland Area

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 the Midland Area
P.O. Box 1203
Midland, MI 48641-1203


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 $______________________

$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 write your check to: League of Women Voters of the Midland Area

Comments (e.g. interests, how you heard about the League)

____________________________________________________________

____________________________________________________________

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Contact us for more information.

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

Comments, suggestions, questions? Contact our webmaster. Last revised: January 10, 2012 07:50 PST.

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