90th

Join the
League of Women Voters

 

Thanks for considering membership in the Mesa County, Colorado, League of Women Voters.
Please enter your information, print this form, and send it to us with your check.
The easiest way to print it is:
1. Click "File" in the upper-left-hand corner of the screen
2. Click "Print Preview" on the drop-down list
3. Click "Print"

Name

Address

City State ZIP

Home Phone Work Phone

Email Address Birthdate

Menbership dues are renewable each October 1st.

Regular Individual: $50.00
Family: $75.00
Supporting Individual: $75.00
Sustaining Individual: $100.00
Introductory First Time/Student: $35.00
Newsletter by mail only: $15.00
Donation to LWV-Mesa: .
Total Enclosed: .

Make check to LWVMesa and mail to
P.O. Box 4252, Grand Junction, CO 81502-4252