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 $______________________
($55 one member. $75 two members same household. Other available membership categories: $35 Senior,
$35 Student (under 24),
$60 Contributing,
$75 Sustaining,
$100 Patron.
Dues are not tax deductible.)
Comments (e.g. interests, how you heard about the League)
____________________________________________________________
____________________________________________________________
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League of Women Voters of Andover/North Andover, Massachusetts. All rights reserved.