Join the
League of Women Voters of Greater Rockford
Today!
Fill this form out, print, then and push the send button. Thanks!
I am:
joining for the first time
a renewing member.
First Name
Last Name
Address
City
State
Zip
Home Phone
Work Phone
Cell Phone
Email address
Membership Type
Individual Membership $60.00
Full time Student 22.50
Household 90.00
SPECIAL MEMBERSHIPS (Includes basic membership)
Carrie Chapman Catt - LWVUS Founder $75.00
Susan B. Anthony -Suffragist 1800s $100.00
Elizabeth Cady Stanton - Suffragist 1800s $150.00
Julia Lathrop, LWVGR Founder $200.00
Voluntary additional Contribution or Pledge:
Memberships are free with 50 years of membership.
Do you qualify?
No
Yes
What year did you join the Rockford League?
Please send checks today to:
LWVGR
P. O. Box 4186
Rockford, IL
61110-0686
Please send me an occasional email.
Comments?
Push button only once!
Questions? email
Membership Chair
Copyright 2007
League of Women Voters of Greater Rockford