Join the League Form

League of Women Voters^®
of Virginia

Please print out this page and fill out this Membership Application Form and mail with your check to:

League of Women Voters of Virginia
P.O. Box 621, Centreville, VA 20122-0621

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 $______________________
($40.00 one member. $60.00 two members same household. Dues are not tax deductible.)

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

____________________________________________________________

____________________________________________________________

Comments, suggestions, questions? Contact our webmaster. Last revised: August 17, 2008 22:43 PDT.