Simply fill out the information below, print it out and send it with your membership dues
of $15 for an individual or $25 for a household, payable to

Clallam County Democratic Club
Attn: CCDC Treasurer
P.O. Box 1672, Sequim, WA 98382

Name

Street Address

City/State
   Zip 

EMail


Phone

Activities I would like to be involved in:

Fundraising Doorbelling Telephoning Letter writing Events

Other activities

Best time to contact me

                               We look forward to seeing you at our next meeting!