Join the League Form

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

League of Women Voters of Curry County
1347 Chetco Avenue
Brookings, OR 97415

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. $82.50 two members same household.

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

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

____________________________________________________________

____________________________________________________________

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

Comments, suggestions, questions? Contact our webmaster. Last revised: April 28, 2012 13:00 PDT.

© Copyright League of Women Voters of Curry County, Oregon. All rights reserved.