League of Women Voters of Manitowoc County Join the League Membership Application Form

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

League of Women Voters of Manitowoc County
c/o Jennifer Balma
1702 Ruby Lane
Manitowoc, WI 54220

Membership Application Form

Name(s)_____________________________________________________

Address______________________________________________________

City_______________________________ Zip Code __________________

Phone Number (day/night)______________________ Fax _______________

E-mail address _________________________________________________

Amount enclosed $______________________

(Membership dues are $40.00 per year,
$60 for two members from the same household.
Dues are not tax deductible.)

Comments (e.g. interests) __________________________________________

____________________________________________________________

Contact us for more information.