LWV Wayne County Annual Membership Form
League of Women Voters Membership Form
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Email *
First Name *
Last Name *
Address (Street, City, State, Zip code) *
Preferred Phone Number *
2nd household member
Email of 2nd household League member
Phone number for 2nd household League member
ONE YEAR Membership Type *
ONE YEAR Membership Type *
I would like to support the local League of Women Voters with a contribution. (Contributions are not tax deductible.) Please enter amount.
Total Amount payable to LWV of Wayne County  
Enter the sum of the membership dues and contribution
Mobilizing Our Talent. 
Select your area(s) of interest:
Applicant Signature (type name in lieu of signtature) *
Choose Payment Method *
If you are paying by check: 
Make Checks Payable to 'League of Women Voters Wayne County'

Send to Carrie Moore, Treasurer, 1488 Smith Drive, Wooster, OH, 44691
For Checks: Enter Check Number
If you are paying with PayPal:
The link to Paypal and further instructions will be on the confirmation screen after you hit submit.
For further inquiries, please contact: kathyhelmuth@gmail.com, LWVWC President
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