Join the League Form

League of Women Voters^®
of Palm Beach County

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

League of Women Voters of Palm Beach County
LWV Palm Beach County
PO Box 6208
Delray Beach, FL 33482-6208

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 one member. $85 two members same household. Other available membership categories: $100 Susan B. Anthony individual membership $25 Winter Affiliate $25 Student Membership.
Dues are not tax deductible. Please write your check to: League of Women Voters of Palm Beach County

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

____________________________________________________________

____________________________________________________________

Pay your membership dues online

To pay online using PayPal, select the membership category you want below. Please indicate in the notes box on the payment screen whether this is a renewal or a new membership. Thanks!

Individual Annual Membership ($55)
Household Membership $85 (Two people sharing an address)
Susan B. Anthony Individual Membership $100
Student Membership $25
Seasonal Membership $25 (Winter affiliate, member of another League)

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

Comments, suggestions, questions? Contact our webmaster. Last revised: April 2, 2012 14:23 PDT.