Join or Renew Membership by Check

Membership Form

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

League of Women Voters of Dallas
2720 North Stemmons Freeway, Suite 812
Dallas, TX 75207-2241

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 $______________________

(___$60.00 one member. ___$90.00 two members same household. Other available membership categories: ...

___$150.00 / Patron
___$500.00 / Benefactor
___$25.00 / Student at _________________________________________ (Institution)
___Reduced membership available on request. (Call 214-688-4125)

$_______ Contribution to LWVD Scholarship Fund

. Dues are not tax deductible. Please make out the check to: League of Women Voters of Dallas )

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

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Comments, suggestions, questions? Contact our webmaster. Last revised: July 29, 2010 09:07 PDT.

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