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 Piedmont
9 Abbot Way
Piedmont, CA 94618

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 $______________________

$65. one member. $100. two members same household. Other available membership categories: Seniors - $60..

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

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

____________________________________________________________

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

Comments, suggestions, questions? Contact our webmaster. Last revised: January 4, 2012 14:40 PST.

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