Membership or Renewal Form
Check if this is a membership Renewal ______
Niles, MI 49120
City ________________________________________________ Zip Code ________________
Phone (home) ___________________________ Phone (Cell) __________________________
Email address _________________________________________________________________
Name for 2nd household member, if applicable _______________________________________
Cell phone for 2nd household member, if applicable ___________________________________
Email address for 2nd household member, if applicable ________________________________
_______ No fee for students: just submit the completed membership form.
If you prefer, you can pay via PayPal by going to our website: www.lwvbcc.org.
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Thank you for your support of the League