MembershipInformation

WATERFORD DEMOCRATIC CLUB MEMBERSHIP APPLICATION
Waterford, Michigan

Date ______________ New ___ Renewal ____

First Name ___________________ Mi ____ Last Name
____________________

Street Address
______________________________________________________

City/Twp. ___________________________________ Zip
________________

Home Phone ____________________
e-mail___________________________

Precinct No. ________ Annual Member Dues:
Individual: $10 __ Students: $8 __ Couples: $20 __

Memberships are valid for one year. If 2-year membership, check here: ___
Please make checks payable to: Waterford Democratic Club

Payment accepted with this form in person at WDC meetings, or by mail to:
WDC Treasurer
70-2 Pine Tree Ridge Drive
Waterford, MI 48327-4310
___ I am willing to help the WDC achieve its goals by helping in the following
areas:
__ Campaigns __ Membership __ Hospitality ___ Programs ___ Other
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Date rec'd ____________ Payment type ______________ Card
Issued __________