[LWV] League of Women Voters®
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Join the League Form or Online Payment

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

League of Women Voters of Los Angeles
3250 Wilshire Boulevard, Suite 1005
Los Angeles, CA 90010


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 $______________________

($75.00 one member. $110.00 two members same household. Other available membership categories: Student (under 25 years) -- $40; Sustaining -- $250.00; Patron -- $500.00; Partner -- $1000.00. Dues are not tax deductible.)

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

____________________________________________________________

____________________________________________________________


Contact us for more information.

Pay your membership dues online

To pay online using a credit card or electronic funds transfer, select the membership category you want below. Please indicate in the notes box on the payment screen whether this is a renewal or a new membership. Thanks!

Regular(75)   Household(110)   Student(40)
Sustaining(250)   Patron(500)

Comments, suggestions, questions? Contact our webmaster. Last revised: April 4, 2008 14:20 PDT.

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