Membership Statement July 2011 - June 2012

League of Women Voters^®
of Oakland

Membership Statement July 2011 - June 2012

Join or Renew

Name_____________________ Address___________________________
City_____________________ Zip_______ Email__________________
Home Phone___________ Work Phone__________ Cell Phone_______
( ) Some of the above information has changed in the last year.
I understand my annual dues are payable in July and are not tax deductible.
I enclose a check, made out to LWVO for:

( ) Individual Membership $65 for one year
      OR I am setting my dues at _____ (minimum $10) and
      requesting the balance from the dues assistance fund $__________
( ) Additional household members $32.50 for one year $__________
( ) Student Membership for $25 for one year $__________
( ) Susan B. Anthony Membership - $100 $__________
( ) Elizabeth Cady Stanton Membership - $250 $__________
( ) Carrie Chapman Catt Membership - $500 $__________
( ) Here are dues for a gift membership! Please welcome:
      Name __________________________________________
      Address________________________________________
      _______________________________________________
      Phone__________________________________________
      as a _____Regular ($65), or _____ Student ($25) Member $__________
( ) Here's an additional amount for the Dues Assistance Fund
because I want League to be accessible to all. $__________
( ) Here's an extra contribution to LWVO's General Fund. I know
that only a small part of my dues stays in Oakland. The rest goes
to the Bay Area, CA and US Leagues. $__________

Total dues and non-tax deductible contributions: $__________

I also want to make a tax deductible contribution to LWVO with a check made out to the LWV Education Fund:
$__________

League of Women Voters of Oakland
1305 Franklin Street, Suite 311
Oakland, CA 94612-3222

Comments, suggestions, questions? Contact our webmaster. Last revised: January 29, 2012 20:02 PST.