LWVJC Membership Form - Payment by Check LWVJC Membership + Donations Form 0621 - Check LWVJC Membership Form Thank you for joining or renewing your membership to the League of Women Voters of Jefferson County, WV (LWVJC). Note: LWVJC is a registered 501(c)4 Corporation. Donations are NOT tax deductible. The LWVJC offers three membership levels: Student, free; Individual, $45; and Household (each person in the household has full membership privileges), $45 plus $22.50 for each additional member. Students, follow this link to fill out your free membership form. This form is for payment by check only. Please send your check to this address: LWVJC, PO BOX 1393, Shepherdstown, WV 25443 If you wish to pay online, please use the online payment form.Name* First Last Email* Phone* This is a Household membership. I need to add additional members. Name of 2nd Household Member First Last Email - 2nd MemberThe National LWV requests an email for each member, if possible. Phone - 2nd MemberOptional. I need to add a third member. Name of 3rd Household Member First Last Email - 3rd MemberThe National LWV requests an email for each member, if possible. Phone - 3rd MemberOptional.Address* Mailing Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code LWVJC Programs and ActivitiesFor the 2021/22 year, the LWVJC has planned several programs and activities on the following topics; please let us know if any interest you. Voter Services Observer Corps (local government) Publicity Participate with LWV of US in lobbying WV Senators/Representatives on legislative issues Help organize LWVJC Candidate Forums for elections Monitor compliance of local agencies with WV Open Meetings Act Participate with national LWV lobbying WV Senators and Representatives on legislative issues Other Interests? Comments? Questions?Is this a new membership or a renewal?* New Membership Renewal My Membership Fees* Individual = $45 Household (2 members) = $67.50 Household (3 members) = $90 My Membership Fees* Individual = $45 Household (2 members) = $67.50 Household (3 members) = $90 My Membership Fees* Individual = $45 Household (2 members) = $67.50 Household (3 members) = $90 Donation (optional) I'd like to add a donation to the LWVJC. AmountIndicate your donation amount. Total Payment* I am paying by check. PhoneThis field is for validation purposes and should be left unchanged.