League Membership Form

Join the League and Make A Difference!

LWV Delaware County Dues Form:  2012-13
Individual Member   $65.00_____________ (not tax-deductible)
Household Members (2)   $100.00   ________ (not tax-deductible)

Gift to LWV Delaware Co.:  Melva Hunter Educational Fund $________ (tax-deductible—Please write a separate  check for this)
Gift to LWV Delaware Co. Operations $________ (not tax-deductible)

Your dues payment to the League of Women Voters of Delaware County includes membership in the  League of Women Voters of Ohio and in the League of Women Voters of the United States.

Please make checks payable to LWV Delaware County and return to the Treasurer :
Andrea Smith, 171 N. Washington St., Delaware, OH 43015

Name ___________________________

Email___________________________
Name___________________________

Email _____________________________

Address ___________________________

Phone ____________________________