Membership Form

Clallam Democrats Membership Form

If you prefer to complete a paper form, access one here: PDF Form

Please fill out a CCD Membership Form for each member whether you are a new or renewing member...Thank you!

* Indicates required field

Date *

Precinct (if known) *

Last Name *

First Name *

Email *

Phone *

Street Address *

Mailing Address (if different than street address)) *

City *

Zip Code *

Membership Options *

Member - $25 / Per Person Two Householders - $40 (If you choose this option, please fill out a form for each member.) Supporting Member - $50 / Per Person Century Club Member - $100 / Per Person Youth (25 and under) - $5 / Per Person Other $

Dues and/or donations may be payable online or by check. Online dues can by made by clicking the ActBlue logo below.

You can make a recurring donation to support the CCD General Fund, which includes operating expenses and support of endorsed candidates. There is an ActBlue payment option for a recurring donation.

If paying by check, please make your check payable to:

Clallam Democrats
Box 2454
Port Angeles, Washington 98362

Occupation or Retired * *

Employer (if not retired) * *

Employer Address (if applicable) * *

*This information is required by the Washington State Public Disclosure Commission for contributions in aggregate over $250 per election cycle.

Yes, I can help the Clallam County Democrats... Please use the volunteer opportunities form to select ways in which you might like to volunteer with Clallam Democrats!

A volunteer coordinator will forward your contact information to the appropriate committee or to the leader of activities and events as they arise. Don't hesitate to reach out to us. We are an ALL volunteer organization; if we miss your offer, please let us know! [email protected]

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