Please print out this page and fill out this Membership Application Form and mail with your check to:
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. $50.00 +$25.00 two members same household. Other available membership categories: Student dues $25.00 (Please add $10.00 to all membership categories if you wish to receive a hardcopy of the LWV Wichita-Metro monthly newsletter by US mail.).
Dues are not tax deductible.)
Comments (e.g. interests, how you heard about the League)
____________________________________________________________
____________________________________________________________
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League of Women Voters Wichita - Metro, Kansas. All rights reserved.