NEW MEMBER AND RENEWAL APPLICATION
NAME_____________________________________________________
ADDRESS__________________________________________________
CITY______________________________________________________
EMAIL_____________________________________________________
PHONE___________________________________________________
MEMBERSHIP: __ INDIVIDUAL $50
__FAMILY $75 __ STUDENT $25
$______________
__SUPPLEMENTARY OR NONMEMBER CONTRIBUTION
$_____________
Contributions
payable to LWV Education Fund are fully tax deductible under 501(c3)
ENCLOSE THIS FORM WITH YOUR CHECK,
PAYABLE TO LWVCLA, AND MAIL TO:
LEAGUE OF WOMEN VOTERS OF CLALLAM
COUNTY
P.O. BOX 982
PORT ANGELES, WA 98362
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