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 Greater Rockford
4990 East State St.
Rockford, IL 61108

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 $______________________

$60.00 one member. $90.00 two members same household. Other available membership categories:

• Young Member (under 35 years of age) $20.00
• Carrie Chapman Catt $75.00
• Susan B. Anthony $100.00
• Elizabeth Cady Stanton $150.00
• Julia Lathrop $200.00

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

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 8, 2012 17:46 PST.

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