[LWV] League of Women Voters®
of Needham

Join LWV

Please print out this page and fill out this Membership Application Form and mail with your check to:

League of Women Voters of Needham
P.O. Box 920115, Needham, MA 02492


Membership Application Form

Name________________________________________________________

Name(s) of additional member(s) in household__________________________

Address______________________________________________________

City_______________________________ Zip Code __________________

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

Cell phone_______________Email address____________________________

Amount enclosed $______________________

($50 one member. $70 two members same household. Other available membership categories: $15 Full-Time Undergraduate or Graduate Student age 18 and over. Dues are not tax deductible. Please make out the check to: League of Women Voters of Needham )

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

____________________________________________________________

____________________________________________________________


Contact us for more information.

Comments, suggestions, questions? Contact our webmaster. Last revised: July 13, 2010 17:02 PDT.

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