Westchester Democratic Club, Los Angeles, California

Home About Us Get Involved! Contact Us Calendar of Events Elected Officials

State Legislation Federal Legislation Register to Vote Obama/Biden Links

If you really wanted Westchester, NY,Click here.

JOIN OR RENEW CLUB MEMBERSHIP FOR 2012!

Please fill out the following form to become a member of the Westchester Democratic Club or renew your membership. The Westchester Democratic Club is open to everyone, but ONLY Registered Democrats and Dues-Paying members are eligible to vote and participate in Club business. The Westchester Democratic Club reserves the right to cancel the membership of any individual at any time. No refund will be made in the event that a membership is canceled.

Membership dues: $25.00

In addition to my membership I can to help cover Club costs.
Contribution amount $

First and Last Name (required)
Street Address (required)
City (required) State (required)
Zip (required)

**At least one contact phone number - home, cell or work is required:**

Home Phone

Work Phone

Mobile Phone

E-mail (required)

Occupation (required by law except for associates)
Employer (required by law except for associates)

I prefer to be contacted by:
E-mail
Postal Mail

Or by phone at:
Home
Work
Mobile

Please complete and PRINT this form (your input will not be saved).

Enclose your dues and/or donation payment and mail to:
Westchester Democratic Club
8376 Stewart Avenue
Los Angeles, CA 90045

Comments or notes:

Home

Subscribe to WestchesterDems

Powered by groups.yahoo.com

Paid for by the Westchester Democratic Club, http://www.westchesterdemclub.org FPPC# 1299840, FEC# C00437079. Not authorized by any candidate or candidate's committee. Copyright © 2011 Westchester Democratic Club. All Rights Reserved.