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Membership Form
| Mr. Mrs. Ms. |
____________________________________________________________________ Last Name, First Name MI |
| Address: | ____________________________________________________________________ |
| City, State, Zip | ____________________________________________________________________ |
| Phone: | _________________________________ |
| E-mail address: | _________________________________ |
| Legislative District | _________________________________ |
___ I (we) would like to join the Central Baltimore County Democratic Club. Enclosed are my annual dues of $20.00 per person.
Please make checks payable to "CBCDC, Inc.".
Note: Dues and donations to CBCDC, Inc. are not tax deductible. Please send this form and your dues to:
Central Baltimore County Democratic Club
C/O Judy Katz
600 Dunkirk Rd
Baltimore, MD 21212
* Students and those with an economic hardship may pay dues at the reduced rate of $10.00 per year.
For further questions about Membership in the Central Baltimore County Democratic Club, email us at admin@cbcdc.org
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