 League of Women
Voters
of Blount County
Membership Form
Please print this form, fill it out and send to the address
below: League of Women Voters of Blount County
PO Box 4961
Maryville, TN 37802-4961 ( ) I(we) would like to join the League of Women
Voters.
( ) I(we) would like to join the League of Women Voters and make an
additional contribution.
( ) I am unable to join the League at this time but would like to make a
contribution. |
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| Name(s): |
____________________________________________________ |
|
Address: |
____________________________________________________ |
|
City/State/Zip: |
____________________________________________________ |
| Phone: |
____________________ (day)
_______________________ (night) |
| E-Mail: |
____________________________________________________ |
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Mail check payable to
League of Women Voters of Blount County. |
Amount enclosed for annual
membership dues:
$_____________
|
$60 one member, $30 additional
family member, $30 student member
Note: Membership dues are not tax-deductible.
( ) Request assistance from Membership Support Fund
|
We rely on donations and membership dues to
conduct our programs. If you would like to make a donation to help
us provide educational services, you may send a check made out to
the League of Women Voters of Tennessee Education Fund (LWVTNEF).
Your donation is fully tax-deductible where permitted by law.
Do you want to help us advocate on the issues you care about? Please
make out a check to the League of Women Voters of Blount County.
This contribution is very important to us but is not tax-deductible. |
I enclose my gift of: ___
$10 ___ $25 ___$50 ___$ 100 $ _____
Other to be applied toward:
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( ) Operating Fund (Mail check payable to League of Women Voters of
Blount County) ( ) Education Fund (Tax-deductible - Make check payable to LWVTNEF;
"Blount County" on memo line)
For more information, visit
www.discoveret.org/lwvbc
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