Paso Robles Democrats
Call Us at 805-769-4847
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Membership Application and Dues Renewal
(      ) Yes! I would like to join the PRDC through 2018

(      ) Renew my membership for 2018

NAME(S) ______________________________________________________________________________

ADDRESS______________________________________________________________________________

PHONE: HOME _________________________              CELL_________________________

E-MAIL _______________________________________________________________________________                                (Members who provide an email address will receive minutes from our general meeting)
 

​For EACH member above, provide the following information (required under disclosure laws).  If retired, so indicate under "Employer" below.

Name __________________________Employer __________________Occupation___________________

Name __________________________Employer __________________Occupation ___________________   
DATE ____________________ AMOUNT PAID __________________

ANNUAL DUES: $20.00 per member  (FOR two persons: $30.00)
  (Make check payable to Paso Robles Democratic Club)

If attending one of our meetings, give your check and this application to the Treasurer, Pam Young, OR mail both to:

         Paso Robles Democratic Club
         P.O. Box 1074
         Paso Robles, CA 93447

Contact us: (805) 769-4847 or pasoroblesdemocrats@gmail.com

Thank you for your support. We look forward to seeing you at our meetings, dates and location to be found on our website calendar.