New Member Form

Please print out this page and fill out this Membership Application Form and mail with your check to:

League of Women Voters of Jacksonville First Coast
PO Box 43398
Jacksonville, FL 32203

Membership Application Form

Name________________________________________________________

Address______________________________________________________

City_______________________________ Zip Code __________________

Phone (home)___________________ Phone (work/day)_________________

Cell phone_______________Email address____________________________

Amount enclosed $______________________

$60 one member. Other available membership categories: Susan B. Anthony Membership $100 Carrie Chapman Catt Membership $200.

Dues are not tax deductible. Please write your check to: League of Women Voters of Jacksonville First Coast

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

____________________________________________________________

____________________________________________________________

Membership Application Form

Name________________________________________________________

Address______________________________________________________

City_______________________________ Zip Code __________________

Phone (home)___________________ Phone (work/day)_________________

Cell phone_______________Email address____________________________

Amount enclosed $______________________

($60 one member. Joining at our Susan B. Anthony Level ($100) increases the League's ability to fulfill our mission locally. Please make out the check to: League of Women Voters of Jacksonville First Coast )

Your comments to the board are appreciated.

We are a 501(c)(4) organization.

Comments, suggestions, questions? Contact our webmaster. Last revised: May 15, 2012 11:50 PDT.

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