Acton & Agua Dulce Democratic Club Membership Form

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Meetings are on Zoom, the 3rd Thursday of every month at 7pm - We are so glad you are joining us!

Email *

Democracy Counts!

First Name *

Last Name *

Email address *

Street Address *

City *

Zip Code *

Mailing Address - if different

Phone Number

Date of Birth (needed for voter registration info) *

Are you currently a registered Democrat? *

Yes

I plan to register as a Democrat (switching parties, turning 18 yrs old, becoming a citizen, etc)

Are you a member of any other community or activist organizations?

Would you be interested in volunteering?

Voter Outreach (Get Out The Vote, Voter Education, etc.)

Volunteering for campaigns

Voter Registration

AADDC membership outreach, special activities

Social Media help

Other:

Membership Dues *

Individual $15-

Household $25-

Roosevelt $35-

Truman $50-

Kennedy $100-

Obama $250-

I request a fee waiver

Other:

We are @AADDC34

THANK YOU!!

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