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Special 2016 Election Year VotePA Membership
Rest of Year Through 12/31/2017

Name of Member
PA County Where Member Votes

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If you need to pay a membership by check or money order, please make it payable to VotePA and send the all the following information:

Member's First and Last Name
County in PA Where Member Votes
Regular Mail Address, City, State, & Zip

Send to:  VotePA • 6093 Pleasant Valley Road • Irwin, PA 15642 

Regular annual memberships are $30, Student-Senior-Low Income Membership is $10.