33rd Democratic Club Board Membership Form

Membership and Donation Form

O Sign me up as a member of the 33rd Democratic Club for 2012.
Enclosed is my $20 annual membership fee.

O I’d like to make a donation to the 33rd Democratic Club for $________

Date _____________
First Name __________________________________________________
Last Name __________________________________________________
Address ____________________________________________________
City____________________ State ___________ Zip ________________
E-mail __________________________________
Phone __________________________________

We are updating our club records, so please fill in all of the above information, even if you think we already have it.

Please indicate your volunteer interest.

Club Officer or Board Member
Helping with our annual July 4 Severna Park parade
Helping with our annual booth at the AA County Fair
Making telephone calls
Writing articles for our Web site
Writing Letters to the Editor
I don't know for sure, but send me an e-mail when you have opportunities

Please print this form, complete the information above, and send with a personal check or money order made payable to “33rd Democratic Club” to:

33rd Democratic Club
c/o Jim Zavakos
750 Springbloom Dr.
Millersville, MD 21108

Privacy Notice: We will not sell or rent your contact information. You can remove/update your contact info at any time by e-mailing us at info@33dems.org.