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 Champlain Valley
P.O. Box 8266, Essex, Vermont 05451-8266

Membership Application Form

Name________________________________________________________

Address______________________________________________________

City_______________________________ Zip Code __________________

Phone (home)___________________ Phone (work/day)_________________

Cell phone_______________Email address____________________________

Amount enclosed $______________________

($50.00 one member. Other available membership categories: student memberships are $20 per year. Dues are not tax deductible.)

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

____________________________________________________________

____________________________________________________________

Comments, suggestions, questions? Contact our webmaster. Last revised: July 8, 2008 22:49 PDT.

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