Membership Application

Written by Membership Committee Saturday, 28 November 2009 16:21

HERNANDO COUNTY

DEMOCRATIC CLUB

 

Membership Application

 

 You must be a registered Democrat in Hernando County to apply for membership in the club. Your application will be reviewed and verified and voted in at the next meeting of the club. You must be present. We meet the first Saturday of each month. Further information is on our website at www.hernandodemocrats.com

 

 

 

 

Please Print:

 

 

Date:_________________                  Precinct___________________ (if known)

 

Name:___________________________________________________

 

Address:_________________________________________________

 

City_______________________  Zip Code______________________

Telephone__________________Email:________________________

 

 

I am interested in serving in the following areas:

_____Telephoning                    _____Canvassing                  _______Events
_____ Elections                        _____Voter Registration       _______ Wherever Needed

 

I can serve on the following Committees:

 

_____Hospitality                    ______Ways & Means          ______Publicity

 

_____Programs                       ______Membership              _______Others

 

 

Signature________________________________ Date______________

 

 

Annual dues are $20 per person and must be included with your application. Checks can be made payable

to HCDC.  Please mail your application  and payment to:

                                                                        Hernando County Democratic Club

                                                                        PO Box 6101

                                                                        Spring Hill Florida 34611