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Strongsville Democratic Club Membership Application
Thank you for your interest in joining the Strongsville Democratic Club! Please complete each question.
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* Indicates required question
Name
*
Your answer
Street Address, Zip code
Voting precinct (if you know)
*
Your answer
Email
*
Your answer
Cell phone number
*
Your answer
Are you a registered Democrat?
*
Yes
No--I'm unaffiliated (Independent)
No--I'm a registered Republican
Membership type
*
Full Membership $20.00 (must reside in Strongsville and be a registered Democrat)
Associate Membership $10.00 (non-voting membership for unaffiliated voters or those residing outside Strongsville)
SDC may take photos or videos that are shared on social media or our website. If you have any questions or concerns about this or other topics, please reach out to us at
strongsvilledems@gmail.com
. Thank you!
Electronic signature (first and last name)
*
Your answer
Today's date
*
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