Membership Form

Please fill out the Membership Information Form. Print the form and mail it with your check to:

1 Start 2 Complete

Name *

Name(s) of additional member(s) in household

Address *

City *

Zip Code *

Phone (Home)

Phone (Day/Work)

Phone (Cell)

Email Address *

Amount Enclosed $ *

Primary Membership $70.00

Each Additional Household Member $30.00

Student Membership $0.00

Dues are not tax deductible. Please write your check to: League of Women Voters of the Eden Area.

How did you hear about the League?

How I heard about the League *

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

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We are a 501(c)(4) organization. Contact us for more information.

League of Women Voters ^®
of The Eden Area