[LWV] League of Women Voters®
of Sedona-Verde Valley

Join the League Form

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

League of Women Voters of Sedona-Verde Valley
P.O. Box 966
Sedona, AZ 86339


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 $______________________

($40.00 one member. $60.00 two members same household. Other available membership categories: $50.00 for a Supporting Membership, $75.00 for a Contributing Membership, $100.00 for a Sustaining Membership.)

Special Fund: Dorothy Hores Memorial fund/LWVAZ Education Fund - $____

(Membership categories above $60.00 are tax-deductible if the check is made out to LWVAZ Education Fund. Otherwise,. 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: August 9, 2008 12:40 PDT.

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