Join the League Form 2016 - 2017

Skip the check payment if you pay online but we appreciate your form filled out if you have new information

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

League of Women Voters of the La Crosse Area
P.O. Box 363
La Crosse, WI
54602-0363

Membership 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 $______________________

$70.00 one member. $105.00 two members same household. Other available membership categories: Can be paid in full (due July 1) or semi-annually ($35 due July 1, and January 1)

First year membership is half-price $35.00

Student dues $35.00

Membership year: July 1, 2016 to June 30, 2017.

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

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

____________________________________________________________

____________________________________________________________

Preferred communication

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