MEMBERSHIP APPLICATION The League of Women Voters of St. Croix Valley is one of 700+ Leagues in 50 states that are affiliated with the League of Women Voters of the United States. We are a nonpartisan, grassroots organization advocating for informed participation in government.Membership Status(Required) New Renewal Name(Required) First Last Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email(Required) Enter Email Confirm Email Phone(Required)I am interested in helping with: Voter Services Committee Program Committee Communications/Media Committee Member Services Committee Budget Committee None at this time See the Join Us page to view the specifics of each committee. If you prefer to pay by check, please download this Membership Form and mail it, along with your payment, to the address indicated on the form.Annual Dues(Required) Single Membership: $75.00 Two Individuals in One Household (second membership 50%): $112.00 Student Membership (age 16 & up): $5.00 Flex Fee (pay what you are able) ~ Suggested Minimum: $20.00 Donation Amount (Optional) Household Member Information First Last Email PhoneTotal Payment MethodYou can choose to pay by credit card or Paypal. Select option from the drop down box.PayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date mm/yy Security Code Cardholder Name
