Join the League Form

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

League of Women Voters of Coos County
P.O. Box 1571
Coos Bay, OR 97420

Membership Application Form

Name________________________________________________________

Name(s) of additional member(s) in household__________________________

Address______________________________________________________

City_______________________________ Zip Code __________________

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

Cell phone_______________Email address____________________________

Amount enclosed $______________________

($55.00 one member. $80.00 two members same household. Other available membership categories: Student $25.00. Dues are not tax deductible.)

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

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Comments, suggestions, questions? Contact our webmaster. Last revised: September 14, 2008 12:44 PDT.

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