Join Form

Please fill out and submit this form to join the League of Women Voters Jackson County. A copy of your submitted form will be emailed to you. Print the form and mail it with your check (payable to LWV Jackson County) to:

League of Women Voters of Jackson County

P.O. Box 1204

Carbondale, IL 62902

Mail-In Membership Form

Joining or Renewing as an individual or family? *

You may join as a single member or dual members from the same household.

Dues are not tax deductible. Please write your check to: The League of Women Voters of Jackson County.

Name: *

first & last name of joining member(s)

Additional Member Name: *

If joining as a household, please provide the secondary member's first & last name.

Street Address: *

City: *

Zip Code: *

Phone Number: *

mobile or home phone number

Additional Member's Phone Number: *

Please provide the secondary member's mobile or home phone number, if different from your own.

Email Address: *

Additional Member's Email Address: *

If joining as a household, please provide the secondary member's email address.

Amount Enclosed: *

Please specify your membership dues amount. You can also include a donation on top of your membership dues payment.

Comments:

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After submitting this form, a copy will be emailed to you. Please print and mail the from with check.
Contact us for more information.

League of Women Voters ^®
of Jackson County

Empowering Voters. Defending Democracy.

Join Form

Join Form

Mail-In Membership Form

League of Women Voters ^® of Jackson County

Address:

Phone:

Email:

Join Form

Join Form

Mail-In Membership Form

League of Women Voters ® of Jackson County

Address:

Phone:

Email:

League of Women Voters ^® of Jackson County