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

League of Women Voters of Vermont

P.O. Box 1391

Montpelier, VT 05601-1391

Name________________________________________________________
Name(s) of additional member(s) in household__________________________
Address______________________________________________________
City_______________________________ Zip Code __________________
Phone (home)___________________ Phone (work/day)_________________ Cell phone_______________
Email address____________________________
Amount enclosed $______________________$50.00 one member. $70.00 two members same household.
Dues are not tax deductible. 
Please write your check to: League of Women Voters of Vermont
Comments (e.g. interests, how you heard about the League)
____________________________________________________________
____________________________________________________________