Join the League Form

League of Women Voters^®
of Northwest Maricopa County

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

League of Women Voters of Northwest Maricopa County
LWVNWMC
14730 W. Domingo Lane
Sun City West, AZ 85375-2927

Membership Application 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 make out the 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 ______Civics Education ______Economic Issues ______Education ______Environment/Global Warming ______Health Care ______International Relations ______Social Policy ______Voting Issues ______Women's 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)___________________________________________________________

Comments, suggestions, questions? Contact our webmaster. Last revised: October 25, 2009 18:53 PDT.