The Villages Democratic Club Membership Application
You may join the club or renew your membership by completing the following form and paying on-line. If you do not pay online, you can bring cash or a check to the next Monthly Meeting.

You must be a resident of The Villages, Florida to join this club.

DUES: $20/Calendar Year per person. The Democratic Club does not prorate dues.

HOW TO JOIN OR RENEW:

Complete the form below and click on the Submit button.
Click on the link in the Pop-up window.
You will be redirected to PayPal
You can pay with a credit card, a debit card or a personal PayPal account.

Member Badges are ordered after payment and are available for pickup at the 2nd Monthly Meeting following payment.

The club reserves the right to destroy any Badges not picked up in one (1) year.

New or Renewal *
First Name *
Please enter your first name.
Your answer
Last Name *
Please enter your last name.
Your answer
Email Address *
Please verify accuracy or you will not receive e-mails on activities etc
Your answer
House Number *
Please enter your house number without the street name
Your answer
Street Name *
Please enter your street name without the number
Your answer
Zip Code *
Please enter your Zip code
Your answer
Phone Number *
Please enter your phone number.
Your answer
Name Badge Type *
Please select the type of Name Badge.
Name for Your Badge
Please enter your name as you want it to appear on your Badge. If you leave this blank, your First and Last Name, entered above, will be used.
Your answer
Precinct Number
Please enter your precinct number.
Your answer
I am willing to help elect Democrats.
BE SURE TO USE THE LINK PROVIDED ON THE NEXT SCREEN TO PAY DUES ON-LINE
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service