Membership Form New or renewing member?* New member Renewing member Name* First Last Email* Phone 1The primary number you prefer to use.Phone 2A second number where you may be reached.Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Have you updated your contact information?If you've made changes to your contact information, let us know here so we can update our records. Thank you! Yes, I've made changes Tell us about your interests Climate Action & Sustainability Community Preservation Education Elections & Voter Service Land Use and Housing Production & Stability League Presents Legislative Liaison Marketing & Communications Membership Municipal Government Scholarship Program Topic Meetings Comments, Questions, Suggestions?Is there anything else you'd like to tell us?Membership Level*Did you know? Only about $5 of each individual dues payment goes to LWV Newton for its own activities: the rest is paid to the state and national level to support their work. Will you consider choosing a higher membership level, or adding a donation below, to help support LWV Newton and reduce the time and effort we need to spend fundraising? Thank you so much for your support! Tax Deductibility: Dues for membership and contributions to the LWV Newton are not deductible for tax purposes, but you may make a tax-deductible contribution to the LWVUS Education Fund (LWVEF) in lieu of dues; choose Pay by Check below. Individual ($60) Household ($90) Student ($25) Sustaining (Maud Wood Park) ($75) Supporting (Carrie Chapman Catt) ($100) Champion (Susan B. Anthony) ($150) Household membershipWhat is the name of the second person in your household membership? First Last Scholarship DonationThis year, we are directing any additional donations above membership dues towards funding our LWVN high school scholarships. If you wish to make a contribution to the scholarship fund, please enter that amount here. (Read about the scholarships!) Payment Type*Credit card payments are accepted online only, via PayPal (a PayPal account is not required for the transaction). Please note that when paying online, the small cost of the PayPal transaction will be added to your purchase (e.g. $2.68 for an individual membership). If you prefer to avoid this fee, you are welcome to pay by check instead. Credit Card online via PayPal Pay by Check Total $0.00 Thank you! Please disregard the fee added to the membership price shown above, that is only applicable to online payments. Renewing members do not need to send any additional paperwork, but please note your name on your check. Thank you for helping us save postage and volunteer hours by sending in your check promptly! Please send your check for the amount of your desired membership to: Treasurer, LWVN P.O. Box 610207 Newton, MA 02461 NOTE: Dues for membership and contributions to the LWV Newton are not deductible for tax purposes. You may choose to pay dues in the form of a tax-deductible contribution to the LWVUS Education Fund; to do so, just make your check payable to LWVEF instead of LWVN. Δ
