Membership Form

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

League of Women Voters of the Homewood-Flossmoor Area
P.O. Box 801
Flossmoor, Illinois 60422

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. $80.00 two members same household. Dues are not tax deductible. Please make out the check to: League of Women Voters of the Homewood-Flossmoor Area )

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

____________________________________________________________

____________________________________________________________

To load a printable copy of this form, click here: Membership Form

Comments, suggestions, questions? Contact our webmaster. Last revised: March 16, 2010 19:56 PDT.

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