[LWV] League of Women Voters®
of Glendale/Burbank

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APRIL 30, 2008

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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 Glendale/Burbank
7714 Via Capri
Burbank, CA 91504-1417


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. $100.00 two members same household. Other available membership categories: $30 for a student membership. Dues are not tax deductible.)

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

____________________________________________________________

____________________________________________________________


Contact us for more information.

Comments, suggestions, questions? Contact our webmaster. Last revised: April 18, 2008 18:45 PDT.

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