Membership Form 2022 Please fill out the form. Upon submission you will be prompted to download your form as a PDF. Please print and send, along with your check (made out to LWVMI), to:LWVGGRAPO Box 174 Belmont, MI 49306-0174 Membership Form_Check Name * Street Address * City * State * Zip * Phone * Email Is this a… * New Membership Renewal Annual Membership Type (Dues are NOT tax deductible) * Single ($70) Household (2 adults at the same address, $105) Student (Full or Part Time, $0) Comments/Involvement Interests If you are human, leave this field blank. Submit
