DEARBORN COUNTY DEMOCRATS

MEMBERSHIP

Membership in the Dearborn County Democrats should not be taken for granted. Membership in any organization should not be taken for granted.

The Dearborn County Democrats depends on members and membership dues to keep

the organization going strong, support the issues we believe in, and elect those leaders

who have these same enduring ideals we hold as Democrats.

 

 

Membership Application

Yes! I want to be a contributing member of the Dearborn County Democrats because it is

important to me that qualified Democrats are elected and issues that I care about are given consideration.

 

Name: _________________________________________________________________

Address: _______________________________________________________________

City: ___________________________________________________________________

Home Phone: __________________________Work Phone:______________________

Fax: ________________________Cellular: ___________________________________

E-Mail: ________________________________________________________________

Employer: _____________________________________________________________

 

Annual Membership Fee: $5.00 October 1^st 2004 - October 1^st 2005.

Please return form and membership fee to:

Dearborn County Democrat Treasurer

Andy Ziegler, Treasurer

3746 Gary Dr.

West Harrison, Indiana 47060