LEAGUE 
OF 
WOMEN 
VOTERS
 OF 
JOHNSON
 COUNTY 
MEMBERSHIP 
FORM

Individual
 membership 



$55 



















Dues 
paid 
annually 
July
1‐June
30
Family
 membership








 $82.50
Student 
membership 






$25

Name(s)_________________________________________________________

Address________________________________________________________
Street

































 City 















































Zip

Phone(h)___________Phone(w)_____________email___________________

Please 
make 
out
 your 
check
 to
 LWVJC 
and
 mail 
to:

Katherine
 Valde,
 Treasurer
Johnson 
County
 League
 of
 Women
 Voters
225 
N.
 Linn
 St.
Iowa
City, IA
 52245