Membership Application Form

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

League of Women Voters of Door County
PO Box 306, Sturgeon Bay, WI 54235-0306

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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 $______________________

$50.00 one member. $75.00 two members same household. Other available membership categories: -

$80 Individual Sustaining Membership (Covers the full cost of membership)

$25 Individual Student Membership

$105 Household Sustaining Membership (Covers the full cost of membership)

Contact us about a Membership Scholarship.

Your dues are tax deductible to the extent allowed by law. Please write your check to: League of Women Voters of Door County

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

____________________________________________________________

____________________________________________________________

Contact us for more information.

We are a 501(c)(3) organization.