La Jolla Democratic Club   P.O. Box 288 La Jolla, CA. 92038

Membership Form

Please print this form, fill in and send with dues to:
La Jolla Democratic Club
P.O. Box 288 La Jolla, CA 92038
LJDC Membership Annual Dues: All yearly dues are due in January.
__$20 Individual __$30 Couple __ $50 Sustaining __$100 Patron __$5 Student
Name(s):
Address:
Phone:
Receive newsletter via email:  yes / no
Email:
Volunteer:  __Phone   __Precinct Work   __Host Meetings   __Raise Funds   __Serve on Board

 
 
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