DEMOCRATIC WOMEN’S CLUB OF WALTON COUNTY FLORIDA, INC.
MEMBERSHIP APPLICATION
NAME____________________________________________DATE_______________
STREET ADDRESS_____________________________________________________
CITY___________________ STATE_____________ZIP________________________
PHONE NO.____________________________E-MAIL_________________________
WORK PHONE_______________________FAX OR CELL_____________________
I am a registered DEMOCRAT in____________________County.
Voter Registration No.______________________Precinct No._________________
I am interested in becoming involved in the following areas:
______Program Development ______Publicity/Public Relations
______Campaign Activities ______Finance/Fundraising
______Membership Development ______Legislative Activities
______Political Education ______Affirmative Action
______Other (Please specify)______________________________________________
Signature______________________________________________________________
Make check in the amount of $25.00 payable to: DWC of Florida, Inc. Mail this form to DWC, P.O. Box 2507, Santa Rosa Beach, FL 32459. Thank you!
