CLALLAM COUNTY DEMOCRATS
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Clallam Democrats Membership Form
If you prefer to complete a paper form, access one here:
PDF Form
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Indicates required field
Date
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Precinct (if known)
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Name
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First
Last
Street Address
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Mailing Address (if different)
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City
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Zip Code
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Telephone No. (landline)
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Cell No.
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Cell No.
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Email
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Annual Membership Dues
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Member - $20 / Per Person
Youth (under 25) - $5
Supporting Member - $50 / Per Person
Century Member - $100 / Per Person
Other
I would like to make a MONTHLY pledge to support the CCD Headquarters.
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$10
$15
$20
$30
$50
Other
For contributions over $100 per election cycle, the Washington State Public Disclosure Commission requires the following information:
Occupation
*
(Required by the WA Public Disclosure Commssion)
Employer (or retired)
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Employer Address (if applicable)
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YES, I will help the Clallam County Democrats by....
Choose any:
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Helping staff the CCD office
Work on finance topics/issues
Enter and manage data (basic computer skills required)
Help my local Precinct Committee Officer (PCO)
Identify Democrats
Get out the vote
Phone banking
Doorbell/Distribute campaign material
Put up yard signs/Identify yard sign locations
Write letters to the editor
March in parades
Staff the Fair booth
Other (special skills I have):
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Please make checks payable to
Clallam Democrats
Box 2454
Port Angeles, Washington 98362
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