Working for government that works for all
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MEMBERSHIP APPLICATION
Leelanau Independent Women for Democratic Action welcomes you!
Our membership fees are $5 to $100 -- you decide!
To print this form, click on your browser's "print" button. Then fill out and return to: LIWDA P. O. Box 151 Glen Arbor, MI 49636
along with your membership fee.
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NAME_____________________________________________________________________________
ADDRESS__________________________________________________________________________
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CITY, STATE, ZIP____________________________________________________________________
PHONE___________________________________________
EMAIL_____________________________________________________________________________
AMOUNT ENCLOSED_______________________________ (Please make check payable to: LIWDA)