LWVNO MEMBERSHIP FORM

LWVNO MEMBERSHIP FORM

Please copy and print this form:  Complete the form and mail with your check to:

League of Women Voters of New Orleans

1215 Prytania St., Ste. 224

New Orleans, LA 70130-4357

Membership Form

Name________________________________________________________

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

Address______________________________________________________

City_______________________________ Zip Code __________________

Phone (home)___________________ Phone (work/day)_________________

Cell phone_______________Email address____________________________

LWVNO publishes a roster of members and their contact information, including address, email, and phone, to allow members to connect with one another. Please check the box(es) if you would like your information included.
__ Address
__ Email
__ Phone number
 

Amount enclosed $______________________

$60.00 one member. $80.00 two members same household. Other available membership categories: $10.00 for a student membership.

$30 one member if joining after February 1st.  $60 will be due on July 1st to maintain full annual membership.

Dues are not tax deductible. Please write your check to: League of Women Voters of New Orleans

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

____________________________________________________________

____________________________________________________________

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