League of Women Voters Mpls Membership Form

Description	Amount	Subtotal

Individual Membership	$90.00	$0.00



Household Membership	$160.00	$0.00



Under 35 Years	$30.00	$0.00



Subsidized Membership	$30.00	$0.00

Dues assistance is available upon request. Please call the office for more information - 612.333.6319

Gift Membership	$90.00	$0.00

Please fill out the information below with information on the person for whom you are buying a Gift Membership.

Additional Donation Amount:

Donation Category:

I would like my donation to recur:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

Please confirm recurring donation:

Total:

$0.00

Fields marked * require an entry.