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Membership Form

YES!  I want to add my voice to yours by joining the

League of Women Voters of Delta County

as a part of a voice for citizens and force for change.

First Name, Last Name  
Street Address  
City  
State and Zip Code  
Daytime/Evening phone  
Email Address  

____

One year individual membership to the League of Women Voters of Delta County. $45.00

____

Household [for one-year membership] for two members who share an address $70.00

____

I'm unable to join the League at this time but enclose a contribution of $_________________

____

Please send me more information  

 Print this form out, fill it out and send it along with check or money order to:
The League of Women Voters of Delta County
C/O   Gretchen Nicholoff - Treasurer
        36295 Sunshine Mesa Road
        Hotchkiss CO 81419-9755

Make your checks payable to the League of Women Voters of Delta County

Please note: membership dues and contributions to the League of Women Voters are not deductible as a personal or business expense for tax purposes. However, a contribution to LWVCO Education Fund is tax deductible. These checks should be made payable to LWVCO Education Fund.

 

 

Copyright © 2006 League of Women Voters of Delta County