MEMBERSHIP APPLICATION TO JOIN
The League of Women Voters of Queen Anne's County
P. O. Box 341
Centreville, MD 21617

The League of Women Voters is an organization of men and women which promotes political participation in the affairs of government through providing opportunities for members and citizens to become informed. You are invited to join the League. It is a satisfying experience to be part of this unique volunteer, nonpartisan, grassroots, and multi-issue organization.
To join the League and support the League as a contributor, simply print out this form. Complete the information requested and mail it with your check in the appropriate amount to the League address noted above.

Name________________________________

Phone:(H)______________                 (W)_______________

Address_______________________________________________________________________

Zipcode___________________County_____________

E-Mail___________________________

Additional Household Member(s)________________________________________________

Membership (US citizens and those over 18 are voting members.) Annual Dues $45 $________
 Additional Family Memberships (at the same address) $23 for each additional member $________

A contribution to the League.
    A direct contribution to the LWV-Queen  Anne's County (LWVQAC) $________
    A tax-deductible contribution to the League's Maryland Voters Education Fund (MVEF) $________
TOTAL REMITTED $________
MAKE CHECKS PAYABLE TO: LWVQAC


Go to: [ LWV-Queen Anne Co. HOME PAGE ]