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 *
Required
I would like to support the local League of Women Voters with a contribution. (Contributions are not tax deductible.) Please enter amount.
Total Amount.  
Enter the sum of the membership dues and contribution
*
Mobilizing Our Talent. 
Please select your area(s) of interest:
*
Required
Applicant Signature (type name in lieu of signtature) *
Choose Payment Method *
Required
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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