LWV-AH-MP-BG Membership
Dues payable to LWVAH and are NOT tax deductible.
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Name
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Address
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City
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Zip
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Phone Number
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Cell Phone
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Birthday
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Occupation
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Check ONE (all members receive a League Notebook)
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$0 Sponsored Leader
$80 Leader
$100 Activist (includes a T-shirt)
$150 Dissenter (includes a T-shirt and hat or visor)
$300 Suffragette (includes a T-shirt, Hat or Visor, and a Sweatshirt or Polo)
$0 Fifty Year Member
Donation to LWV Education Fund (Tax Deductable)
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You will be contacted for your SWAG
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Areas of Interest: Check all that apply
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Political Action
Communication
Member Services
Fundraising
Program & Events
Voter Registrations
Mock Elections
Candidate Forums
Student Services
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I am A Voter Registrar and my number is:
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