33rd District Democratic Club, Anne Arundel County, Md
Club Home

Membership and Donation Form

O Sign me up as a member of the 33rd District Democratic Club for 2008.
   Enclosed is my $15 annual membership fee.

O I’d like to make a donation to the 33rd District 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.
2008 Club Officer or Board Member 
Campaigning During the 2008 Election 
Assisting with mailings for the 2008 election 
Election Judge  
Poll Watcher  
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 District Democratic Club” to:

33rd District Democratic Club
c/o Ann Marie Remillard
1176 Goldfinch Lane
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.