LWV-AH-MP-BG Emerging Leader (EL)
Sign up form for members up to age 26: Dues payable to LWVAH and are NOT tax deductible.
Cell Phone (for Remind Updates)
Date of Birth
School (if applicable)
Year in School
Membership Level (Note: our cost of membership is $18)
$0 Sponsored EL
$10 EL >16 (non-voting)
$10 EL 16-26 (voting)
$20 Ambassador EL (16-26)
$18 Cost Cover EL
Method of Payment (Check 1)
Mail payment to 9 South Elmhurst Rd PO Box 318 Prospect Heights, IL 60070
Cash in person
Areas of Interest: Check all that apply
Program & Events
Specific area (s) of interest? (i.e. environment, voting rights, etc.)
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