
VOLUSIA
COUNTY
MEMBERSHIP
APPLICATION
(July 1 –
June 30)
Please print out and
complete this application. Send it with
your membership dues to:
LWVVC
Post Office Box 9418
Daytona Beach, FL
32120
( ) Individual
$50.00
( ) Family
Membership $70.00
( ) Student
Membership $25.00
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Address:
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Phone:
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Phone:
e-Mail
Address:
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Date:
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Interests:
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Last
updated June 16, 2004