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Dues are $40 for individuals, $20 for students and $60 for a family.
Please complete this form and send it with your check, payable to LWVGB.
Mail to: Sarah McDonald, Treasurer; 3357 Cherokee Road; B'ham 35223.


       Name(s) _________________________________________________________________

       Phone  (h) ___________________________          (w) ____________________________

    _________________________________________________________________________
                    Street                                                      City                     State                        Zip

             E-mail Address______________________________   Amount enclosed $____________

Questions? Call Nancy Ekberg at 967-2897 or e-mail her at nanekberg@aol.com