Please print out this page and fill out this Membership Application Form and mail with your check to:
Name________________________________________________________
Name(s) of additional member(s) in household__________________________
Address______________________________________________________
City_______________________________ Zip Code __________________
Phone (home)___________________
Phone (work/day)_________________
Cell phone_______________Email address____________________________
Amount enclosed $______________________
($50.00 one member. $75.00 two members same household. Other available membership categories: Student (under 25 years) -- $25;
Dues are not tax deductible. Please make out the check to: League of Women Voters of Brookline (LWVB)
Comments (e.g. interests, how you heard about the League)
____________________________________________________________
____________________________________________________________
To pay online using a credit card or electronic funds transfer, click on the button below. ($50.00 one member. $75.00 two members same household. Other available membership categories: Student (under 25 years) -- $25). Please indicate in the notes box on the payment screen whether this is a renewal or a new membership. Thanks!
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Last revised: August 15, 2011 17:20 PDT.
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League of Women Voters of Brookline, Massachusetts. All rights reserved.