Name:____________________________________________________________

Address:__________________________________________________________

City/Zip:__________________________________________________________

Phone:___________________________Fax:_____________________________

Email:___________________________

____________$60/Yr Individual Membership

___________ $90/Yr Household Membership

____________$30/Yr Student

Membership dues or contributions to operating expenses are not tax deductible

Your dues support: our Local League ($27.20), State League ($9.00), and National League ($23.80).
Household dues support: our Local League ($41.20), State League ($13.50), and National ($35.30)

In addition I am making a contribution to the operating budget of $______________________

Please make check payable to : League of Women Voters of Greater Tucson

In addition I will support the LWVGT in its effort to build citizen participation in the democratic process. Please make your tax deductible check payable to LWVAZ Education Fund. No credit cards please.

Please mail your checks and completed form to 2424 E. Broadway, Suite 110
Tucson, AZ 85719. If you need further information, call (520) 327-7652.