Contribution Form
Name_________________________________________________________
Address_______________________________________________________
City____________________________ State______ Zip Code_____________
Amount Enclosed $__________________ Phone (opt)____________________
Email Address____________________________________________________
____ I wish my contribution to remain anonymous.
Indicate where you wish your contribution to go:
____ My check is made out to the “LWVMA Citizen Education Fund” which is a 501(c)(3) organization.
____ I wish to support my local League’s programs. My check is made out to the “LWV Plymouth Area” and is not tax-deductible.
Comments _____________________________________________________
_______________________________________________________________