Join the League Form

The League of Women Voters^®
of the Fairfax Area (LWVFA)

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

The League of Women Voters of the Fairfax Area (LWVFA)
4026 Hummer Road
Suite 214
Annandale, VA 22003-2403

Membership Application Form

Name________________________________________________________

Address______________________________________________________

City_______________________________ Zip Code __________________

Phone (home)___________________ Phone (work/day)_________________

Cell phone_______________Email address____________________________

Amount enclosed $______________________
($65.00 one member. Other available membership categories: Advocate member: $100 Student member: $32.50 Household membership: $90 2 members, 1 newsletter. Dues are not tax deductible. Please make out the check to: The League of Women Voters of the Fairfax Area (LWVFA) )

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

____________________________________________________________

____________________________________________________________

The 2009-2010 LWVFA (local League) dues year is July 1, 2009 to June 30, 2010. To join the LWVFA or to renew your membership, fill out the form below today and mail it with your check made payable to the LWVFA to:
League of Women Voters of the Fairfax Area 4026 Hummer Road Annandale, VA 22003
If you have any questions about the League or your membership, please contact the LWVFA office at 703 658-9150 or league@lwv-fairfax.org.

Comments, suggestions, questions? Contact our webmaster. Last revised: August 31, 2010 13:12 PDT.