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LOWNDESCOUNTY DEMOCRATIC PARTY
2010 DUES
Name:_________________________________________________________
Street Address:_________________________________________________
City, State, Zip:_________________________________________________
Phone:(H)________________(W)__________________(Cel)_____________
Email:_________________________________________________________
Membership type:
Individual $25____ Family $40____ Student/Senior/Military $15____
Payment of dues is not a condition for participation in the Democratic Party.
I am interested in serving as a party volunteer. Yes____ No____
I would also like to make a contribution at the following level:
$100____ in support of our 44th President, Barack Obama
$250____ in honor of healthy budget surpluses, thanks to Bill Clinton
$500____ in honor of the Federal Ethics Code, thanks to Jimmy Carter
$750____ in honor of the Civil Rights Act, thanks to Lyndon Johnson
$1,000____ in honor of the Clean Air Act, thanks to John Kennedy
$1,500____ in honor of the Marshall Plan, thanks to Harry Truman
$2,000____ in honor of Social Security, thanks to Franklin Roosevelt
Please make check out to Lowndes County Democratic Party and mail with form to:
LCDP Headquarters, 1008 Slater Street, Valdosta, GA31601. Thank you!
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