Making Democracy Work
Please print this page and fill out the Membership Information Form. Then mail it with your check to:
League of Women Voters of the Prince William Area
6805 Derby Run Way
Gainesville VA 20155
Name________________________________________________________
Name(s) of additional member(s) in household__________________________
Address______________________________________________________
City_______________________________ Zip Code __________________
Phone (home)___________________ Phone (work/day)_________________
Cell phone_______________Email address____________________________
Amount enclosed $______________________
$70.00 one member. $105.00 two members same household. Other available membership categories: Student - $15; Champion for Suffrage - $100
A Champion for Suffrage is a member who contributes over and above the regular membership amount of $70 to be used for furthering the goals of the League.
Dues are not tax deductible. Please write your check to: League of Women Voters of the Prince William Area
Comments (e.g. interests, how you heard about the League)
____________________________________________________________
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We are a 501(c)(4) organization.