[LWV] League of Women Voters®
of Shelter Island

Join the League Form

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

League of Women Voters of Shelter Island
PO Box 396
Shelter Island Hts., NY 11965-0396


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

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

____________________________________________________________

____________________________________________________________


Contact us for more information.

Comments, suggestions, questions? Contact our webmaster. Last revised: December 2, 2011 00:24 PST.

© Copyright League of Women Voters of Shelter Island, New York. All rights reserved.