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Membership Form 2023-2024
Please fill out this form to ensure our contact information for you is up-to-date.
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CONTACT INFORMATION
Name
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Your answer
Email
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Your answer
Mailing Address (Street, City, Zip)
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Cell Phone Number
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MEMBERSHIP TYPE (Choose one) Our League membership year runs July 1-June 30.
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$65 Active Membership
$70 Supporting Membership
$100 Active Household Membership
Open Door membership
$10 Student Membership
Life Member (League member for 50+ years)
IF Active HOUSEHOLD Membership, give Name, Email and Phone# of additional Household Member.
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Dues are important, but your involvement in the League's work is what makes us a vital community organization. You can indicate which League activities are of greatest interest to you below. THANK YOU!
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Voter Education and Services
Diversity, Equity and Inclusion
Observer Corps (monitor local government committees)
Sustainability
Fair Maps (non-partisan redistricting process)
Janesville/Beloit Leagues Annual "Forward Together" Event
Membership
Publicity and Social Media (includes newsletter and web page)
Other:
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If you checked "Other" and/or would like to say more about your interests in League activities, please tell us about them:
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