Join the League Form

League of Women Voters^®
of Mississippi, Inc.

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

League of Women Voters of Mississippi, Inc.
League of Women Voters of MS
PO Box 55505
Jackson, MS 39296-5505

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 $______________________
MAL $36.00 one member. MAL $54.00 two members same household. Other available membership categories: Student: $20.00 / Fifty-year and longer member: free / LWV Jackson Area, individual: $50.00 / LWV Jackson Area, household: $75.00 / LWV Gulf Coast, individual: $50.00 / LWV Gulf Coast, household: $75.00.
Dues are not tax deductible. Please write your check to: League of Women Voters of Mississippi, Inc.

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

____________________________________________________________

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You may pay your membership dues online (at a slightly higher price to cover online payment processing fees) using Google Checkout below:

We are a 501(c)(4) organization.

Comments, suggestions, questions? Contact our webmaster. Last revised: January 22, 2012 21:26 PST.