Join the League Form

Please print this page and fill out the Membership Information Form. Then mail it with your check to:

League of Women Voters of Northampton County, PA
PO Box 523
Bethlehem, PA 18016

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Membership 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 $______________________

$64.00 one member. $96.00 two members same household. Other available membership categories: STUDENT MEMBERSHIP- $25.00

ADDITIONAL INFORMATION:
Primary Member Name:

Phone:
E-mail:

Additional Member Name:

Phone:
E-mail:

.

Dues are not tax deductible. Please write your check to: League of Women Voters of Northampton County, PA

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

____________________________________________________________

____________________________________________________________

Contact us for more information.

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