©2004 League of Women Voters of Baltimore City   All rights reserved.
6600 York Road, Suite 211 | Baltimore, MD 21212 | Tel 410-377-8046 | Fax 410-377-7738 | lwvbaltimore@verizon.net
Last Updated 5/21/2005


League of Women Voters of Baltimore City − Membership Application

League of Women Voters of Baltimore City
6600 York Road, Suite 211
Baltimore, MD 21212
Tel: 410-337-7783   email: lwvbaltimore@verizon.net  webpage: www.lwvmd.org/baltcity

To join and/or contribute to the League, please complete the following information. Print the form,
enclose a check made out to LWV-Baltimore City and mail to the League at the above address.*
Thank you!

Name   Home Phone:  Work Phone:

Street:   City:   State: Zipcode:

Second Household Member Name:

Individual Membership ($60.00):     Family Membership ($80.00):

Contribution to the League

Direct(non-tax-deductable) contribution to the League: $

Sadie Crockin Fund (tax deductable) contribution: $

Make Checks payable to: LWV-Baltimore City    Total Remitted: $

* Full membership is open to city residents who are US citizens and age 18 or over.