Member or Non-member Attendee Name * Address * City * State * Zip Code * Email * May we include you on our email list? * Cell Phone Home (or Land) Phone May we contact you by phone/text message? Membership Choice
(Premium Memberships include the Individual Membership)
Additional Family Member Email Additional Family Member Name May we include your additional family member on our email list? Additional Member Cell Phone(s) May we contact your additional family member by phone/text message? LWVGR 100th Annual Meeting Annual Meeting — June 4, 2022, 9:00 a.m.
If you are bringing more than 2 additional attendees, please list them and their brunch choices in the comment section. Many more, please contact Christina at firstname.lastname@example.org.
Brunch Choices for you, Member or Non-member # 1 *
All reservations must be placed by May 21, 2022.
Brunch Choices for Member or Guest 2 Brunch Choices for Member or Guest 3 Almost done... I'd like to cover the fees associated with my donation so more of my dues goes directly to our League.
PayPal collects a 3.49% processing fee plus a $0.49 transaction fee. This is about $4.00 for an Individual membership and 1 or 2 annual meeting reservations. For larger membership fees, our treasurer will contact you.
I would like to opt-in to arrange an annual automatic renewal of my credit/debit card-paid membership dues.
If you opt-in, every June you will be notified by email that your annual LWVGR membership dues will be automatically charged to the credit card you have on file. You may opt-out from automatic payment at any time.
Payment Method *
Please mail check to:
League of Women Voters of Greater Rockford
2606 Point O Woods Drive
Rockford, IL 61114.
You will have an opportunity to use an online shopping cart through a link in your confirmation on the next page.
Getting to know you. What is your primary interest?
The League of Women Voters is more than voter registration. There are several action committees and many background positions in technology, event planning, etc. Always wanted to learn a task? We'll have a resident expert teach you. The League is a fun place to meet others, discuss, and learn!
What made your decision to join the League of Women Voters today? In what other organizations have you been a member? Additional Comments