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)

Credit Card last four digits

Please enter the last four digits of the credit card you used to join and pay your fee.

Leave this field blank

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

League of Women Voters ^®
of The Eden Area