MEMBERSHIP APPLICATION TO JOIN
The League of Women Voters of Frederick County, MD


Homepage: http://www.lwvmd.org/frederick

The League of Women Voters is an organization of men and women which promotes civic responsibility and active participation in the affairs of government. The League observes, monitors, studies, discusses, educates, advocates and testifies on issues of local, state and national import. We invite you to join the League. You will find it a satisfying experience to be part of this unique volunteer, nonpartisan, grassroots, and multi-issue organization whose goals and objective are to
MAKE DEMOCRACY WORK

To join the League or support the League as a Contributor, simply print this form. Please complete the information requested and mail it with your check in the appropriate amount to the address at the end of the form.

Name________________________________Phone:(H)______________(W)_______________


Address_______________________________________________________________________


Zipcode___________________County_____________E-Mail___________________________


Additional Household Member(s)___________________________________________
Member (must be US citizens age 18 or older) Annual Dues $45 $________
Additional Household Member(s) Annual Dues @$20 each $________

A contribution to the League further promotes our good work.
    A direct contribution to the LWV-Frederick County $________
    A tax-deductible contribution to the Maryland Voters Education Fund $________
TOTAL REMITTED $________

MAKE CHECKS PAYABLE TO: LWV-Frederick County and mail to 
Gale Burwell, 3130 Chartwell Crescent, Adamstown MD 21710.

If you have questions, please contact Gale at  301-644-1438  or   marvgale2334@edurostream.com

go to: LWV Frederick home page