Making Democracy Work

Join the League Form

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
12334 Macrina Court
Lake Ridge, VA 22192-2366


Membership 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 $______________________

$70.00 one member. $105.00 two members same household. Other available membership categories: Student - $35; 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)

____________________________________________________________

____________________________________________________________


Contact us for more information.

We are a 501(c)(4) organization.