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Please complete the following form or on the following page, click the Membership Application to download the printable PDF

Member Annual Dues

First name

Middle Initial

Last name

Address

Cell Phone

Home Phone

Email

Select a date

Lakeland Deocratic Club dues are $30 per year for each member.

Thank you! We’ll be in touch.

Membership Application

First name

Middle Initial

Last name

Address

Cell Phone

Home Phone

Email

Voter Registration Number

Precince Number

What are your expectations of the club?

Your interests (please check at least one box).

Your interests √ a box

Voter Registration

Snack Committee

First Friday Committee

Fund Raising

Community Volunteering

Your interests √ a box

Canvassing/Precinct Org.

Monthly Membership Calls

Club Officer/Board Member

Stuffing Door Hanger/Office

Publicity/News Media

Your interests √ a box

Postcard Committee

Social Media

Phone Banking

Greeting Committee

Program Committee

An area you would choose to help - not lised abve.

Pledge: I am a registered Democrat. I support and adhere to the principles of the Democratic Party and wish to become a member of the Lakeland Democratic Club (LDC).

Your Signature

Select a date

Lakeland Deocratic Club dues are $30 per year for each member.

Thank you! We’ll be in touch.

The Lakeland Democratic Club meets at 7 PM on the 1st Thursday of every month.

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© 2019 The Lakeland Democratic Club

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