League of Women Voters of Adams County -- Membership Application
Dues are $60 per year, pro-rated to January 1st, and include the cost of our local League's pledge to the National and State Leagues, as well as support for Adams County activities. Your dues also cover the cost of all publications you will receive in connection with the studies conducted during the the year, as well as the monthly newsletter, the statewide "Colorado Voter" (published quarterly) and the four yearly issues of the national publication, "The Voter."
MEMBERSHIP LEVELS
Friend (basic dues) $60
Sustaining $75
Advocate $100
Name:____________________________________________________________________________
Address:__________________________________________________________________________
Address:__________________________________________________________________________
City, State, Zip:____________________________________________________________
Home Telephone:___________________________________________________________
Work Telephone:___________________________________________________________
Email: ___________________________________________________________________
______ I am a New Member.
I wish to be a _____________ Level member.
A check for $________ is included.
______ I am Renewing my Membership.
I wish to be a _____________ Level member.
A check for $________ is included.
______ I will need a ride to the meetings
______ I want to get involved. You may call me for projects.
I am especially interested in: ________________________________________________
For more information, call Pat at 303-452-3030
Please make your checks payable to LWV ADAMS COUNTY and mail with application to Shirley Mrochek, 10781 Wanda Lane, Northglenn, CO 80234