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____________________________

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)

____________________________________________________________

____________________________________________________________

Issues: