[LWV] League of Women Voters®
of the South Bend Area

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 the South Bend Area
702 E South Street
South Bend, IN 46601


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 $______________________

($45.00 one member. $67.50 two members same household. Dues are not tax deductible. Please make out the check to: League of Women Voters of the South Bend Area )

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

____________________________________________________________

____________________________________________________________


Contact us for more information.

Comments, suggestions, questions? Contact our webmaster. Last revised: December 8, 2011 11:30 PST.

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