Please mail this form to join to

LWV of the Copper Country
PO Box 815
Houghton, MI 49931
or email to cclwvmi [at] gmail.com

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. $90.00 two members same household. Other available membership categories: Student Free.

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

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