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 Broome and Tioga Counties
P.O Box 944, Vestal, NY 13851-0944

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 $______________________

$50.00 one member. $75.00 two members same household. Other available membership categories: Student(full time) $20.00 Elizabeth Cady Stanton (contributing) $55.00 Carrie Chapman Catt (supporting) $75.00 Susan B. Anthony (sustaining) $100.00.

Dues are not tax deductible. Please write your check to: League of Women Voters of Broome and Tioga Counties

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

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

Comments, suggestions, questions? Contact our webmaster. Last revised: March 2, 2012 12:27 PST.

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