League of Women Voters of Deschutes County Membership Application Form Dues year is July 1st to June 30th. Payment received after Feb 1 will extend to next fiscal year. Please fill in pertinent information and use the tab key to advance and update the Total Amount Due field. Date Date Format: MM slash DD slash YYYY Name First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Basic membership Price: $71.84 Quantity: Single membership dues are $70.00 + online fee $1.84 (2.2% + .30) = $71.84Second in household Price: $36.07 Quantity: Second in household dues are $35.00 + online fee of $1.07 (2.2% + $0.30) = $36.07Name of second in household First Last Student Price: $10.52 Quantity: Minimum 16 years of age. Student dues are $10.00 + online fee of $0.52 (2.2% +$0.30) = $10.52Name of student First Last Student member current School informationSusan B Anthony Centennial Donation Price: $100.00 Quantity: Donate an additional $100 to celebrate 100 years of woman suffrage!Frederick Douglass Supporter Donation Price: $30.00 Quantity: Add $30.00 to Basic Membership for local program activities!Total Amount $0.00 Total amount today. Thank you! LWV of Deschutes is a 501(c)(3) organization. All Dues and Contributions are Tax Deductible!Additional Comments (How did you hear about us? - volunteer experience?)
