The League of Women Voters
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Membership Application for League of Women Voters Memphis/Shelby County
( ) I would like to join the League of Women Voters.
Annual Dues: $35 for students; $50 per person; $75 per couple.
In addition, I enclose my gift of: ___ $10 ___ $25 ___ $50
___ $100 Other $ _____
Enclosed is my check for: _____________
I would like to contribute to: ( ) Operating Fund (mail check payable to League of Women Voters of Memphis/Shelby)
( ) Education Fund (Tax deductible- make check payable to LWVTN) ( ) State Lobbyist Fund (mail check payable to LWVTN)
Name: ____________________________________________________
Address: __________________________________________________
City/State/Zip: ___________________________________________
Phone: (H) _________________ Phone: (W) ________________
E-Mail: ______________________________
League of Women Voters c/o Denise Ganucheau (2nd Vice President)
P.O. Box 383291, Germantown, TN 38183

(You may have to copy and paste into your e-mail)