Membership Dues

Membership Application Form

Name 1:
Name 2:
Address:
City:
Zip Code:
Phone (evening):
Phone (day):
Cell Phone:
email:
How would you like to pay?	Check payable to LWVCKC Mail to: LWVCKC PO Box 611 Batavia, IL 60510 $25 (student member) $60 (1 regular member) $90 (2 members same household) Membership Dues Aren't Deductible
	Pay online with Paypal - A $2 handling fee is included in these rates: $27 (student member) $62 (1 regular member) $92 (2 members same household) (Click on the Paypal button below this form. You do NOT need to have a Paypal account already created)
What are your interests?	Voter Services
	Disabilities Advocacy
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	Other
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NOTE: There is a $2.00 charge for using Paypal to pay dues. The amounts shown in the Paypal menu
to the right reflect that fee.

League of Women Voters Central Kane County