Ukiah Valley Democratic Club

Join Us

Thank you for your interest in joining the My Democratic Party! Annual dues are $20/individual; $30/family. Please fill out the following form. Employment information is required by federal law.
Title
* First Name
* Last Name
* Mailing Address
* City
* State
* Zip Code
* Email
* Home Phone
Cell Phone
Work Phone
Fax
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Best times to call
Dues: Yearly, pay by July 1st. Date ___/___/___ Check # __________
Individual $20 _______ Family $30 ________ Other $__________
To maintain an active Democratic Club, you are encouraged to participate in activities that appeal to you. Please share with us the kinds of things that interest you the most.
Volunteer to help with election activities
Volunteer to help with events
Volunteer to _______________________________________
Call me when you have a need and I will see what I can do
I can't volunteer right now, but I will donate $ __________
Please make check out to UVDC and return to UVDC, P.O. Box 294, Ukiah CA 95482
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