Join the League Form

League of Women Voters^®
of North and Central San Mateo County

Please print out this page and fill out this Membership Application Form and mail with your check to:

League of Women Voters of North and Central San Mateo County
444 Peninsula Avenue, Suite 1
San Mateo, CA 94401-1653

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. $90.00 two members same household. Other available membership categories: New members prorated quarterly. Subsidized memberships for students and othersare available through the Sheila Heiman Fund. Requests for the Heiman Fund are confidental, known only to the Treasurer and the Membership chair. We encourage anyone who would like to join the LWV but is hesitating due to financial concerns to contact us. We want to use our Heiman Fund money!. Dues are not tax deductible.. Please make out the check to: League of Women Voters of North and Central San Mateo County )

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

____________________________________________________________

____________________________________________________________

Comments, suggestions, questions? Contact our webmaster. Last revised: October 30, 2008 17:02 PDT.