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LWV Carroll Membership Form
The League of Women Voters of Carroll County MD
LWV of Carroll County
c/o Carol Blackburn
2570 Vance Drive
Mount Airy MD 21771
410-875-2340
The League of Women voters promotes political responsibility and active participation in the affairs of government. The League observes, monitors, studies, discusses, educates, lobbies and testifies on issues of local, state and national import. We invite you to join the League. You will find it a satisfying experience to be part of such a unique volunteer, nonpartisan, grassroots, and multi-issue organization whose goals and objective are to
To join the League or support the League as a Contributor, simply print out this form. Complete the information requested, check off the membership option you chose, and mail it with your check in the appropriate amount to the League address noted above.
Name________________________________Phone:(H)______________(W)_______________
Address_______________________________________________________________________
Zipcode___________________County_____________
E-Mail___________________________
Second Household Member___________________________________________
| Full Membership (Open to county residents who are US citizens and age 18 or older) |
Annual Dues $45.00 | $________ |
| Associate Membership (open to non-citizens) | Annual Dues $45.00 | $________ |
| Second Household Member | Annual Dues $22.50 | $________ |
A contribution to the League further promotes our good work.
| A direct contribution to the LWV-Carroll County Co. | $________ |
| A tax-deductible contribution to the LWV-MD Education Fund | $________ |
TOTAL REMITTED
MAKE CHECKS PAYABLE TO: LWV - Carroll CO.
MAIL TO :
LWV of Carroll County
c/o Carol Blackburn
2570 Vance Drive
Mount Airy MD 21771
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