Application for
Membership to the
Eleanor & Franklin Roosevelt Democratic Club
Name:
____________________________________________________
Address:
____________________________________________________
Number and
Street
____________________________________________________
City,
State, and Zip
Phone:
_____________________________________(Home)
_____________________________________(Work)
E-mail:
_____________________________________
Please sign me up for periodic e-mail
messages that are forwarded by our Club President (your e-mail address
will never be shared with any outside source): ____ Yes
Please find enclosed my check / cash (circle
one) for
$ ______________
Dues are $5.00/year (October through
September). Additional donations are most welcome to support the Club's
activities. Because the Democratic Club is a political organization,
dues and donations are not tax-deductible.
Bring to the next meeting, or send to:
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