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