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 $______________________
($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)
____________________________________________________________
____________________________________________________________
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League of Women Voters of Palo Alto, California. All rights reserved.