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 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: $70.00 Quantity: Second in household Price: $35.00 Quantity: Name of second in household First Last Student Price: $10.00 Quantity: Minimum 16 years of age. Name 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?)Please let us know your interests and experience! We have many activities and committees in which to participate.