Join the League Form

Please print out this page and fill out this Membership Application Form and mail with your check to:

League of Women Voters of Janesville
P.O. Box 8064
Janesville, WI 53547-8064

Membership Application Form

Name________________________________________________________

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

Address______________________________________________________

City_______________________________ Zip Code __________________

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

Cell phone_______________Email address____________________________

Amount enclosed $______________________

$65.00 one member. $95.00 two members same household. Other available membership categories: Student Dues: $30.00.

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

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

____________________________________________________________

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

Comments, suggestions, questions? Contact our webmaster. Last revised: January 18, 2012 17:39 PST.

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