Please print this page and fill out the Membership Information Form. Then mail it with your check to:
League of Women Voters of Loudoun County
P.O. Box 822
Leesburg, VA 20176
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.
Dues are not tax deductible. Please write your check to: League of Women Voters of Loudoun County
Comments (e.g. interests, how you heard about the League)
____________________________________________________________
____________________________________________________________
We are a 501(c)(4) organization.