LWV Wayne County Annual Membership Form
League of Women Voters Membership Form
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Email *
Name *
Address *
Cell Phone *
Home Phone *
Preferred Phone *
Work Phone
ONE YEAR Membership Type *
ONE YEAR Membership Type *
I would like to support the League of Women Voters with an additional contribution. (Contributions are not tax deductible.) Please enter amount or n/a below. *
Your time and energy is vital to the success of our work. Please select all areas you would like to help develop: *
Applicant Signature (type name in lieu of signtature) *
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
Paying with PayPal: 1. Click the link below to make your payment. 2. Return to this form 3. Hit the SUBMIT button - The account name appears under Carrie Moore, the Treasurer of LWVWC.
A copy of your responses will be emailed to the address you provided.
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