LWV Moscow Online Membership Form

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Dues are not tax deductible. Please fill out this form and submit your payment via check to: League of Women Voters of Moscow, PO Box 9535, Moscow, ID 83843 or via PayPal below. Please include your phone number with payment.

Name *

Name(s) of additional member(s) in household

Email *

Address *

City *

ST *

ZIP Code *

Preferred phone number

Membership options *

One Member: $65

Household: $90

Full-time Student: Free

Benefactor: $125

I request assistance for payment of my dues from the scholarship fund in the amount of:

I would like to make the following tax-deductible donation to LWV of Moscow (if paying online, please submit your donation through the donate button at the bottom of the page):

$10

$25

$50

$100

Other:

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Comments (e.g. interests, how you heard about the League)

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