Working for government that works for all
PLEASE JOIN US!
Use the "Print" button on your browser to print this membership form.
Fill it out, and return with your dues in the amount of $5 to $100 - it's up to you!
Make out your check to LIWDA and send to:

LIWDA, P.O. Box 151, Glen Arbor, MI, 49636

NAME:__________________________________________________________

ADDRESS:______________________________________________________

               ______________________________________________________

PHONE:_________________________________________________________

EMAIL:__________________________________________________________

AMOUNT ENCLOSED:____________________________________________
                                 (Make checks payable to: LIWDA)