Join the League Form

League of Women Voters^®
of the La Crosse Area

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

League of Women Voters of the La Crosse Area
P.O. Box 363
La Crosse, WI
54602-0363

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 $______________________
($60.00 one member. $90.00 two members same household. Other available membership categories: Can be paid in full, semi-annually ($30 due July 1, and January 1) or quarterly ($15 due July 1, October 1, January 1 and April 1).
First year membership is half-price $30.00
Student dues $30.00. Dues are not tax deductible. Please make out the check to: League of Women Voters of the La Crosse Area )

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

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Comments, suggestions, questions? Contact our webmaster. Last revised: April 19, 2010 13:27 PDT.