Making Democracy Work

Join the League Membership Application

Please print this page and fill out the Membership Information Form. Then mail it with your check to:

League of Women Voters of Northwest Maricopa County
LWV/NWMC
16226 W. Scarlet Canyon Dr.
Surprise, AZ 85374-5139


Membership Form

Name________________________________________________________

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

Address______________________________________________________

City_______________________________ Zip Code __________________

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

Cell phone_______________Email address____________________________

Amount enclosed $______________________

$55.00 one member. $75.00 two members same household. Other available membership categories: Student $20.00.

Dues are not tax deductible. Please write your check to: League of Women Voters of Northwest Maricopa County

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

____________________________________________________________

____________________________________________________________

Residency

______Are you a full-time resident? ______Are you only a Winter resident? If you are only a winter resident, your summer address is:___________________________________________________________________________________________________________________

Please mark all areas of interest to you:

______Air Quality ______Civic Engagement ______Economic Issues ______Education ______Environment/Global Warming ______Health Care ______International Relations ______Social Policy ______Voting Issues ______Women's Issues ______End-of-Life Issues ______Other (please specify)______________________________________________________

I'll help with the following LWV activities:

______have a meeting in my home ______prepare a study paper ______be an observer at a government/education meeting ______do art work/graphics ______interview candidates or officials ______bring refreshments to a meeting ______help with fundraising ______make phone calls ______help develop publications ______help do special mailings ______give rides to meetings

The level of participation that I would prefer:

(Check all that apply): ______receive mailings ______attend meetings: _____day _____evening ______get email action alerts ______on-line interactive discussion ______serve on an active committee ______serve on a short-term committee ______Other (please specifiy)________________________________________________________________

Contact us for more information.

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