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THANK YOU

Downtown Clearwater Bus Terminal

We rely on dues and donations to support our programs.

If you would like to help us, please complete the contribution form below, click “SUBMIT” and then “DONATE” to pay.

Thank you for your support! And remember to click the “Donate” button to complete the transaction!

Donation without Membership

Donate without Membership

Donate without Membership

CONTACT INFORMATION

Today's Date *

Name *

First Name

Last *

Last Name

Address *

Address

Adress Line 1

Adress Line 1

Building/Apartment/Suite #

Building/Apartment/Suite #

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Email Address *

Phone Number *

Preferred Phone Type *

Mobile Phone

Home Phone

Anonymous Donation?

Yes, please keep my contribution anonymous

Questions or Comments:

DONATE ANY AMOUNT

Donation Type *

One Time Donation

Monthly Donation

Memorial Donation

Planned Donation

Please contact the League of Women Voters
of North Pinellas County to make arrangements.

727-386-8525

Donate Any Amount to our on-going work *

Monthly Donation Amount *

Memorial Donation Amount *

In Memory of

Pay by Check

Pay by Check

Pay Online

Mail your check to:

League of Women Voters
of North Pinellas County

PO Box 7867
Clearwater, FL 33758

Total

We are a 501(c)(3) Tax-Exempt Organization, and your contributions (exclusive of membership dues) are tax-deductible to the current extent of the law.

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New Membership Application

New Membership Application

New Membership Application

CONTACT INFORMATION

Today's Date *

Name *

First Name

Last *

Last Name

Address *

Address

Address Line 1

Address Line 1

Building/Apartment/Suite #

Building/Apartment/Suite #

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Email Address *

Phone Number *

Preferred Phone Type *

Mobile Phone

Home Phone

The League publishes your contact information in its membership directory, given only to members. By checking this box, you grant permission to share your information in the league directory.

Permission to Publish Address/Phone/Email *

Yes

No

Other Instructions:

ADDITIONAL HOUSEHOLD MEMBER INFORMATION

Name

Name

First

First

Last

Last

Email

Phone

Phone Preference

Mobile Phone

Home Phone

AREAS OF INTEREST

Committees you would like to work with *

Voter Service (Including Voter Registration, Voter Guide and Candidate Forums)

Education

Environmental / Natural Resources

Economic Equality Initiative

THE VOTER Newsletter / Blog

New Member Recruitment

Ex-Offender Voting Rights

Website / Technology

Development (Fundraising)

Health Care

Juvenile Justice

Writers and Speakers Bureau

Transportation

Marketing / Publicity

Immigration

MEMBERSHIP LEVEL

When choosing your membership level, please note that only a small portion of dues is kept at our local LWVNPC (of the basic dues, $47 goes to LWVFL and LWVUS).
The LWVNPC wants to keep dues as low as possible to make membership affordable for all people. However, if you can pay dues at the Cornerstone or Ida B. Wells level (show of support), it would be greatly appreciated.

Annual Dues *

$0.00: Age 16 to register, Age 18 to vote, Full or Part Time Student

$60.00: Individual

$90.00: Household: 2 people in the same house

$120.00: Cornerstone Show of Support

$150.00: Cornerstone Household

$250.00: Ida B. Wells Show of Support

$300.00: Ida B. Wells Household

Total

Dues are payable on yearly anniversary date.

Those who do not pay dues within three months of anniversary date will be dropped from membership but may always rejoin.

We are a 501(c)(3) Tax-Exempt Organization, and your contributions (exclusive of membership dues) are tax-deductible to the current extent of the law.

Check here if paying by check

I will mail check within 5 days of completing renewal.

Just click CANCEL when the PayPal window opens.

If you are human, leave this field blank.

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Membership Renewal

Membership Renewal

Membership Renewal

CONTACT INFORMATION

Today's Date *

Name *

First Name

Last *

Last Name

Address *

Address

Address Line 1

Address Line 1

Building/Apartment/Suite #

Building/Apartment/Suite #

City

City

State

State

Zip

Zip

Email Address *

Phone Number *

Preferred Phone Type *

Mobile Phone

Home Phone

Note any changes to original Membership Application::

AREAS OF INTEREST

Committees you would like to work with *

Voter Service (Including Voter Registration, Voter Guide and Candidate Forums)

Education

Environmental / Natural Resources

Economic Equality Initiative

THE VOTER Newsletter / Blog

New Member Recruitment

Ex-Offender Voting Rights

Website / Technology

Development (Fundraising)

Health Care

Juvenile Justice

Writers and Speakers Bureau

Transportation

Marketing / Publicity

Immigration

MEMBERSHIP LEVEL

Annual Dues *

$0.00: Age 16 to register, Age 18 to vote, Full or Part Time Student

$60.00: Individual

$90.00: Household: 2 people in the same house

$120.00: Cornerstone Show of Support

$150.00: Cornerstone Household

$250.00: Ida B. Wells Show of Support

$300.00: Ida B. Wells Household

Donate Any Amount to our on-going work

Total

Dues are payable on yearly anniversary date.

Those who do not pay dues within three months of anniversary date will be dropped from membership but may always rejoin.

We are a 501(c)(3) Tax-Exempt Organization, and your contributions (exclusive of membership dues) are tax-deductible to the current extent of the law.

Check here if paying by check

I will mail check within 5 days of completing renewal.

Just click CANCEL when the PayPal window opens.

If you are human, leave this field blank.

Δ

Please Contact Us with any questions.

League of Women Voters

North Pinellas County
PO Box 8602
Clearwater, FL 33758

Contact Us

727-386-8525
Email

Make a Difference!

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