League of Women Voters Logo

THE LEAGUE OF WOMEN VOTERS OF BROWARD COUNTY
MEMBERSHIP APPLICATION FORM





Yes, I want to join a nonpartisan organization that encourages informed and active participation of citizens in government. We value your support. Now is the time to make that commitment.

I enclose: (please check one)
____ $45.00 for a ONE-YEAR individual membership
____ $67.50 for a ONE-YEAR household membership (for two members sharing an address)
____ $22.50 for a ONE-YEAR student membership
____ I'm unable to join the League at this time, but enclose a donation of $____________ .
____ Please send me more information about the League

Name(s)__________________________________________________________________________________

Address______________________________________________________________________________

City/State/Zip_______________________________________________________________________

HomePhone______________________WorkPhone____________________FaxNumber________________

emailAddress_________________________________________________________________________
Please send my Voter newsletter by email_____

Please check any of the following League activities that might interest you:
____ Children’s Issues
____ Computer/Web site
____ Immigration
____ Fundraising
____ Government
____ Great Decisions Discussion Group
____ Legislative Action
____ Natural Resources
____ International Relations
____ Public Speaking
____ Voter Service
____ Women’s Issues
____ Social Policy
____ Civic Education


Please make your check payable to the League of Women Voters of Broward County.
Mail your check and application form to:

Membership
LWVBC
PO Box 15733
Plantation, FL 33318-5733

All League members receive The National Voter as well as local and state League newsletters. Membership dues and donations to the League of Women Voters are not tax-deductible.

Membership dues and contributions to the League of Women Voters are not deductible
as a personal or business expense for tax purposes.