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2024 Long Beach Democratic Club Membership Application
Membership paid at any point in the year will expire on December 31, 2023. Additionally, in order to be able to participate in the club's endorsement process, a member must attend and sign into at least 3 regular club meetings and their membership must be paid in full prior to the endorsement meeting.
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If you have any questions about membership, please contact David Rosen, Vice President of Membership at:
dslrosen@live.com
Name (First, Last)
*
Your answer
2nd Member Name (First, Last) - if applying for couples membership
Your answer
Street Address (No P.O. Box)
*
Your answer
City & Zip Code
*
Your answer
Home & Cell #s
*
Your answer
Email Address
*
Your answer
Occupation
*
Your answer
Please select a membership type from below
*
Choose
Regular Membership ($50/year)
Couples Membership ($85/year)
Seniors/Students/Low Income ($30/year)
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