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