Share: We rely on dues and donations to support our programs. Please fill out the Membership Information Form, print it, and send the printed form with your check to LWVPFA, PO Box 782, Park Forest, IL 60466. Membership Form LWVPFA is a 501(c)(4) nonprofit organization so dues and/or donations are not tax deductible. First Name * Please enter your first name. (Required) Last Name * Please enter your last name. (Required) Email Address * Please enter your email address. (Required) Membership Type * Individual Membership $65Household/Family Membership $97.50 (Two members from the same household)Student Membership $30Each Additional Household Member $32.50Contributing Individual Membership $100Contributing Household Membership $132.50 Please select a membership type. (Required) Street Address * Please enter your street address. (Required) Address Line 2 Enter the second line of your street address, if needed. (Optional) City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Please enter your Zip Code. (Required) Phone Number Please enter your preferred phone number. (Optional) Additional Member's First Name * You have chosen the "Household Membership", please provide the first name of your second member. (Required) Additional Member's Last Name * You have chosen the "Household Membership", please provide the last name of your second member. (Required) Additional Member's Email Address * You have chosen the "Household Membership", please provide a unique email address for your second member. (Required) Leave this field blank CAPTCHAPlease confirm you are human to prevent spam submissions. Proceed to Print Preview Share: