Join Form

Please print this page and fill out the Membership Information Form. Then mail it with your check to:

League of Women Voters of Beloit, WI
2318 Parkmeadow Drive
Beloit, WI 53511

Name________________________________________________________

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

Address______________________________________________________

City_______________________________ Zip Code __________________

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

Cell phone_______________Email address____________________________

Amount enclosed $______________________

$65 one member. $98 two members same household. Other available membership categories: Break-even dues: $65.00

Carrie Chapman Catt Dues: $75.00

Susan B. Anthony Dues: $100.00

Elizabeth Cady Stanton Dues: $150.00

June Swannack Dues: $200.00.

Your dues are tax deductible to the extent allowed by law. Please write your check to: League of Women Voters of Beloit, WI

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

____________________________________________________________

We are a 501(c)(3) organization.