Join The District 19 Democratic Club

Take A Stand For Your Community


We cordially invite you to join the District 19 Democratic Club. Annual Club Dues for the Club year, which runs from June 1st through May 31st, are: $15 each year for full voting membership, $10 for out of district members (Non-voting status),  or $5 for students. To join the Club:

1) Complete the following form by copying it to Notepad

2) Mail the completed form to us with a check for the appropriate amount to:

District 19 Democratic Club

 c/o  Financial Secretary

PO Box 5772

Rockville, MD 20855

:

In the Comments section of the form below, tell us whether you want your information included in the Club's Directory and on which of the following Club Standing Committees you would like to serve: 1) Membership; 2) Programming/Party Support; 3) Fundraising Team; 4) Technology Team; 5) Communications/Correspondence Team; and/or 6) Youth Membership. See our Privacy Policy below for more information.


District 19 Democratic Club

Membership Form

www.district19dems.org

 

Name _____________________________________________________________________________

Address ___________________________________________________________________________

City, State, Zip______________________________________________________________________

Telephone#: (Home)______________________________________(work / cell)

Email address ____________________________________________

Annual Dues are $15.00 (July 1, 2015 - June 30, 2016)

Please mail your dues to:

District 19 Democratic Club

 c/o Mrs. Millie Topper, Financial Secretary

14508 Homecrest Road Apt. 327

Silver Spring, MD 20906

 

Payment Method

            Check # _______________

            Cash__________________

Date membership paid ________

 

Committees I am interested in serving on

Finance ____

Fundraising ___

Legislation ___

Publicity ___

Program ___

Membership ___

Hospitality ___

Communications/Publicity ___


Privacy Policy

 

The District 19 Democratic Club is strongly committed to privacy. We do not sell or rent your personally identifiable information or share it with any third party, except for programming contractors.

We collect membership information only for purposes of communicating with members.  We send and receive e-mail with the Club's members. You can unsubscribe from our mailings at any time by sending an e-mail to webmaster@district19dems.org stating that you wish to unsubscribe.