Membership Form

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LEAGUE 
OF 
WOMEN 
VOTERS
 OF 
JOHNSON
 COUNTY 
MEMBERSHIP 
FORM

Individual
 membership 



$65 



















Dues 
paid 
annually 
July
1‐June
30
Family
 membership








 $97.50
Student 
membership 






$32.50

Name(s)_______________________________________________________

Address________________________________________________________

Street

































 City 















































Zip ___________________________________________________

Phone(h)___________Phone(w)_____________email_____________________

Please 
make 
out
 your 
check
 to
 LWVJC 
and
 mail 
to:

Katy Hansen, Membership
Johnson 
County
 League
 of
 Women
 Voters
1 Oaknoll Ct.
Iowa
 City, IA
 52246