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 Beloit WI
1336 Moore St.
Beloit WI 53511

Membership Application Form

Name________________________________________________________

Address______________________________________________________

City_______________________________ Zip Code __________________

Phone (home)___________________ Phone (work/day)_________________

Cell phone_______________Email address____________________________

Amount enclosed $______________________

($45 one member. Other available membership categories: Break-even dues: $55.00

Carrie Chapman Catt Dues: $75.00

Susan B. Anthony Dues: $100.00

Elizabeth Cady Stanton Dues: $150.00

June Swannack Dues: $200.00. Dues are not tax deductible.)

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

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Comments, suggestions, questions? Contact our webmaster. Last revised: May 3, 2008 10:39 PDT.

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