CLALLAM COUNTY DEMOCRATS
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The America We Believe In
Clallam Democrats Membership Form
If you prefer to complete a paper form, access one here:
PDF Form
*
Indicates required field
Date
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Precinct (if known)
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Name
*
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 or cell -- your preference)
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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 or Retired
*
(Required by the WA Public Disclosure Commssion)
Employer (if not retired)
*
Employer Address (if applicable)
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YES, I will help the Clallam County Democrats by....
Choose any:
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HELP STAFF THE OFFICE
WORK ON ELECTIONS
---Locate Sites for Yard Signs
---Put Up Yard Signs
---Make Telephone Calls
---Write Postcards
---Distribute Campaign Material
---Doorbell
---Attend Rallies
---Identify other Democrats / Invite Your Friends
SERVE ON A COMMITTEE
---Events / Programs
---Facilities
---Fundraising
---Get Out the Vote (GOTV)
---Membership
---Outreach
Help my Precinct Committee Officer (PC))
Write Letters to the Editor
March in Parades
Help at the Clallam County CCD Fair Booth
Join the Election Observer Team
Help with Events/Programs (incl. help develop programs)
Help with Fundraising Events
Attend & Report on Agency/Service Club Meetings
I have special skills you may need:
*
Do you have an interest in running for election, serving on the CCD Board, or becoming a Precinct Committee Officer?
We can HELP! Email us at
ccd@clallamdemocrats.org
Dues and/or donations may be payable online by clicking on the
Act
Blue
logo below
or by check payable to
Clallam Democrats
Box 2454
Port Angeles, Washington 98362
Submit
