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Forsyth County Democratic Women 2019
Forsyth County Democratic Women Membership Form - An Auxiliary of the Forsyth County Democratic Party
Annual Dues are $25
Dues for January 1, 2019 - December 31, 2019; Due by February 28, 2019 for reporting to Democratic Women of North Carolina
FCDW Membership 2019
Renew or join for the first time
Payment Method for 2018 dues of $25
2019 Check Mail to: FCDW Membership, 1128 Burke St. Winston-Salem, NC 27101
2019 Cash; Must be in sealed envelop marked with name, email, phone
Name - Last
Name - First
Address - Street
Address - City or Town
Address - State initials
Zip (5 digit)
Telephone - Mobile xxx-xxx-xxxx
Telephone - Home xxx-xxx-xxxx
Occupation (or indicate none or retired)
Employer (or indicate none or if retired, last employer)
The following committees/activities interest me - check all that apply
Publicity and Social Media
August Teacher Appreciation Picnic (TAP)
Are you a registered Democrat?
Yes; required for membership in Forsyth County Democratic Women auxiliary
What is your precinct number and location?
A copy of your responses will be emailed to the address you provided.
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