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 Topeka-Shawnee County
Teresa Stambaugh, 4608 SE Oak Bend Dr. Berryton, Kansas 66409
Email Teresa • Phone: 785-862-6621

Membership Application Form

Name(s)_____________________________________________________

Address______________________________________________________

City_______________________________ Zip Code __________________

Phone Number (hm)______________________  (work) _______________

E-mail address  (for Action Alerts) ____________________________________

Amount enclosed $______________________

$53 1-yr., Individual member.
$75 1-yr. Household members.
$25 1-yr., Student member (between the ages of 18 and 30 who are enrolled in post high school classes).
$85 1-yr. Sustaining membership.
Make checks payable to League of Women Voters of Topeka-Shawnee County.
(Dues are not tax deductible.)

Comments (e.g. interests) __________________________________________

____________________________________________________________

___ I am unable to join League at this time, but enclose a contribution of $___.__

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