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LWV Hawai'i County Membership Application
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Street Address
Your answer
City
Your answer
State
*
Hawai'i
Other:
Zip Code
*
Your answer
Preferred Phone
*
List number (with area code) and whether this is a landline or cell.
Your answer
I give permission for my contact information to be listed in a League-only directory.
*
Yes, include my information in the directory.
No, please don't list my contact information.
Membership Categories
*
Please check one of the membership categories below. Membership dues are not tax deductible.
Individual Member - $50
Household Member (+ 1 Other Person) - $75
Student Members (Student ID required) - Free
If applying for Household Membership, list name of 2nd Household Member
Your answer
If making a voluntary contribution, please list the amount below.
Your answer
How would you like to pay your membership fee?
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