[LWV] League of Women Voters®
of Palo Alto

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Membership form

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

League of Women Voters of Palo Alto
457 Kingsley Palo Alto, CA 94301


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. $97.50 two members same household. Other available membership categories: Household membership is for 2 members at the same address. Add $32.50 for each additional member when more than 2 members at the same address,$32.50 for Student membership. Dues are not tax deductible.)

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

____________________________________________________________

____________________________________________________________


Contact us for more information.

Comments, suggestions, questions? Contact our webmaster. Last revised: December 22, 2007 11:41 PST.

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