Please select an annual membership type*A family membership is for two individuals living at the same address. Membership fees are available on the Membership Page.Please selectSuffragist Individual Membership, $65.00Suffragist Family Membership, $97.50Susan B. Anthony Individual Membership, $100.00Susan B. Anthony Family Membership, $132.50Carrie Chapman Catt Individual Membership, $200.00Carrie Chapman Catt Family Membership, $232.50Associate Membership (Dues-paying Member of Another League), $32.50Associate Membership (Student), $0.00Associate Membership (Under Age 18), $0.00Associate Membership (Non-Citizen), $32.50Family Member (Of Paid Member), $0.00Name* First Last Email* What is the name and location of the League that you belong to outside of Collier County?*What is the name of the school that you currently attend?*Username for Logging Into Website*Password Enter Password Confirm Password Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Primary Phone*Would you like your contact information viewable by other LWVCC members in the online directory?*Profiles are only visible to members and show your contact information.YesNoWho in your household registered for LWVCC membership?* First Last About Your Family MemberWhat is the name of the other member in your household?* First Last What is the email address of the other member in your household?If you provide an email address, we will send an email inviting this person to create an online profile and sign-up for emails. If an email address is not provided or a profile is not completed, this individual will not appear in the online directory or receive LWV emails. A Bit More About YouTell us a bit more about you and your interests.What are some of your interests?This will help us connect you with committees. Book Club Education Environmental Affairs Government / Observer Corps Justice Other Social Policy Voter Services Would you like to help LWVCC operationally in some way?We offer a number of ways for you to share your time and talents. Communications Budget & Finance Fundraising Hospitality Membership Sponsorship Other PaymentHow would you like to pay for your annual membership?*All memberships expire on December 31.By credit card online via PayPalBy mailing a checkOptional Donation to "The League of Women Voters of Collier County"The donation would go to "The League of Women Voters of Collier County", which is responsible for study and advocacy efforts. It is a 501(c)4 organization and donations are NOT tax-deductable. Donations to the "The League of Women Voters of Collier County Education Fund" are tax deductible, but can not be combined at this time with membership sign-up. To make a donation, enter the amount. Total $0.00 You will be securely transferred to PayPal's site to complete your transaction. Be sure to press the blue "Pay Now" button to finalize your transaction.CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.