New Member Form Name First Last Name 2 (if household membership) First Last Email Phone 1Phone 2Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Membership Type*Please note: financial assistance is available if the membership fee would pose a financial burden. Contact the firstname.lastname@example.org if you would like assistance with the fee.Individual ($60)Household ($90)Student ($25)Sustaining (Maud Wood Park) ($75)Supporting (Carrie Chapman Catt) ($100)Champion (Susan B. Anthony) ($150)NOTE: Dues for membership and contributions to the LWV Newton are not deductible for tax purposes. You may make a tax-deductible contribution to the LWVUS Education Fund (LWVEF) in lieu of dues; choose Pay by Check below.DonationIf you wish to make a contribution beyond the membership dues you have selected above, please enter that amount here. Tell Us What You Are Interested InTopics/CommitteesCharter Review InitiativeCommunity Preservation ReadersEducationElectionsEnvironmental IssuesHousing / Land UseMunicipal FinanceLeague Outreach/EducationObserver CorpsTopic MeetingsLegislative RoundtableVoters ServiceVoter RegistrationDrive Voters to the pollsCandidates' NightsLWVN FunctionsLeague LeadershipCommunicationsMembershipFundraisingArchivesEvent PlanningPublicityPayment 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. $2.09 for an individual membership). If you prefer to avoid this fee, you are welcome to pay by check instead.Credit Card online via PayPalPay by CheckThank you for sending in your check promptly! You do not need to send any additional paperwork, but please note your name on the check if there might be any confusion about whose membership the check is meant to pay for. 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 LWV Education Fund; to do so, just make your check payable to LWVEF instead of LWVN, and mail your contribution to LWVN as usual.