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 $35.00 one member. MAL $52.50 two members same household. Other available membership categories: Student: $20.00 / Fifty-year and longer member: free / LWV Jackson Area, individual: $45.00 / LWV Jackson Area, household: $63.00 / LWV Gulf Coast, individual: $40.00 / LWV Gulf Coast, household: $60.00. Dues are not tax deductible.)

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

____________________________________________________________

____________________________________________________________

Be sure to indicate for which type of membership you are applying:
_____ MAL one member: $35.00
_____ MAL two members same household: $52.50
_____ Student: $15.00
_____ Fifty-year and longer member: free
_____ LWV Jackson Area one member: $45.00
_____ LWV Jackson Area household: $63.00
_____ LWV Gulf Coast one member: $40.00
_____ LWV Gulf Coast household: $60.00

Comments, suggestions, questions? Contact our webmaster. Last revised: August 13, 2008 11:52 PDT.