League of Women Voters of Park Ridge Membership Form

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2021-2022 Membership Form

Please Note: We will need a form filled out for each of our members. Our goal is to receive forms and dues by Oct 31, 2021. Yearly dues are for the period of September 1st, 2021 to August 31st, 2022.

Welcome!

I am *

A current member

Becoming a new member of LWVPR

Today's Date *

YYYY

First Name *

Last Name *

Mailing Address *

Cell Phone Number *

Email Address *

Membership Dues *

Individual Membership ($75.00)

Household Membership ($125.00) - Two or more members in the same household

Student Membership ($35.00) - Ages 16 - 26

For household membership, please add name, address, phone number and email address of the additional member.

Additional Donation *

$10

$20

$25

None

Other:

Areas of interest. Please check all that may apply. Our Director of Membership can reach out to you and help make connections about various opportunities.

Diversity, Equity and Inclusion Committee (NEW)

Environmental Committee (NEW)

Student Leadership (NEW)

Voter Services

Observer Corps

Social Media

Tabling Events

Newsletter Contributor

Photography

Comments and additional information

Method of Payment - (We promise to never sell or share your personal information.) *

Quick Pay by Zelle (to lwvparkridge@gmail.com)

Check (payable to League of Women Voters of Park Ridge) For mailing address: Email lwvparkridge@gmail.com

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