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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 Topeka-Shawnee County
Carrie Lancaster, Membership Chair, 2253 SW Alameda Dr., Topeka, KS 66614
Contact Carrie • Phone: 785-273-2502


Membership Application Form as of November 1, 2017

Name(s)_____________________________________________________

Address______________________________________________________

City_______________________________ Zip Code __________________

Phone Number (hm)______________________  (work) _______________

Cell Ph ______________ E-mail address  _____________________________

Amount enclosed $______________________ (Dues are not tax deductible.)

$60/yr., Individual Member
$90/yr. Individual Sustainer (Includes $30 tax deductible donation to the Local League)
$90/yr., Household Members
$105/yr., Sustaining Household (Includes $15 tax deductible donation to the Local League)
$35/yr., Student Member (must be enrolled full-time in post high school classes)
Make checks payable to League of Women Voters of Topeka-Shawnee Count
y

To join in the months of July through October, 2017, dues are prorated. Call Carrie Lancaster for details: 273-2502.

Comments (e.g. interests) __________________________________________

____________________________________________________________

___ I am unable to join League at this time, but enclose a contribution of $___.__

Contact us for more information.


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