Membership Form

Membership Form

League of Women Voters of Hilton Head Island/Bluffton Area

Membership Form 2017-1018

__New  Member                                ____Current Member/Membership Renewal

Name(s)___________________________________________________________________

Address____________________________________________________________________

Phone_________________________ Email_______________________________________

Dues:  Individual*      $60­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­

Household*                 $90­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­

Donation** to LWVHHI/BA  (optional)­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­

Total Amount Enclosed­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­

*$60 for one year, none member; $90 for one year two or more members of the same household.  Please make checks payable to: LWVHHI/BA.

**If you would like your donation to be tax-deductible, please write a second check made out to LWVUS Education Fund, which is a 501c(3).

Please check your areas of interest:

___Voter services                                                       ___Education

___State government issues and advocacy

___Local issues/Observer corps                                 ___Programs

___Membership                                                         ___Fund-raising

___Communications (newsletter, publicity, Twitter, Facebook, website)

___Other (specify)______________________________________________________________

How many years have you been a member of the League of Women Voters? ______

Please mail this form along with a check for your membership to:

Ellen Dahl,      3 Saddlewood Ct.     Hilton Head, SC 29926

This form is related to which committees: 
Membership Committee