[LWV] The League of Women Voters®
of the Mid-Hudson Region

Join the League Form

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

The League of Women Voters of the Mid-Hudson Region
PO Box 3564
Kingston, NY 12402


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 $______________________

(50.00 one member. 75.00 two members same household. 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: July 13, 2008 15:34 PDT.

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