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Forsyth County Democratic Women 2019
Forsyth County Democratic Women Membership Form - An Auxiliary of the Forsyth County Democratic Party
Email address *
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
Type Membership *
Payment Method for 2018 dues of $25 *
Name - Last *
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Name - First *
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Address - Street *
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Address - City or Town *
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Address - State initials *
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Zip (5 digit) *
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Telephone - Mobile xxx-xxx-xxxx
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Telephone - Home xxx-xxx-xxxx
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Occupation (or indicate none or retired) *
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Employer (or indicate none or if retired, last employer) *
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The following committees/activities interest me - check all that apply
Are you a registered Democrat? *
What is your precinct number and location?
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Comment
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A copy of your responses will be emailed to the address you provided.
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