LEAGUE OF WOMEN VOTERS OF ANNE ARUNDEL MEMBERSHIP APPLICATION FORM

To join the League or support the League as a Contributor, simply print out this form. Complete the information requested, check off the membership option you chose and mail it with your check in the appropriate amount to the League address noted below.

Name________________________________Phone:(H)______________(W)_______________

Address_______________________________________________________________________

Zipcode___________________County_____________

E-Mail___________________________

Second Household Member___________________________________________

Member-At-Large (Open to county residents    who are US citizens and age 18 or older)	Annual Dues $45	$________
Second Household Member	Annual Dues $22.50	$________

A contribution to the League further promotes our good work.

A tax-deductible contribution to the LWV-AA Education Fund

$________

TOTAL REMITTED

$________

MAKE CHECKS PAYABLE TO:  The LWV  of Anne Arundel
and mail to

LWV of Anne Arundel
c/o Susan Cochran

332 Hamlet Circle
Edgewater, MD 21037