Membership
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Membership and Voting:
Any person subscribing to the ideals and principles of the Democratic Party and residing in New York State may apply for and shall be accepted for membership in the Club by filing a written application with the Membership Committee. Only paid up members who are registered Democrats, as determined by the Treasurer, and residing within the boundaries set forth below may vote.
West – The Islip Town Line; North – The 5th Council District Line of the Town of Brookhaven; East - The William Floyd Parkway; South – The Atlantic Ocean; and any area encompassed by the Patchogue- Medford School District.
Non-voting, Associate Members, may reside anywhere in New York State.
Members voting for officers must have attended four General Meetings of the Club within the past twelve months and be paid in full for the current year.
Each application for membership shall be accompanied by the amount of the annual dues fixed by the Executive Board of the Club at the Annual Organizational Meeting unless the applicant joins the Club after June 30, at which time half dues shall be paid. ( half dues for new members only )
The 2010 dues are: Individual- $20 Seniors 62 plus- $15 Household at same address- $35
You may print out the form below (scroll down) and with your check made to "Jeffersonian Democratic Club", mail it to:
Jeffersonian Democratic Club
PO Box 561
Patchogue NY, 11772,
SCROLL DOWN
JEFFERSONIAN DEMOCRATIC CLUB OF SOUTHWESTERN BROOKHAVEN
"Dedicated to Promoting the Principles of Equity and Justice Through the Rule of Law"
MEMBERSHIP FORM
Please print out this form and send it with your check made out to "Jeffersonian Democratic Club" to:
Jeffersonian Democratic Club, PO Box 561, Patchogue NY, 11772, or bring same to a meeting.
The 2010 dues are: Individual- $20 Seniors 62 plus- $15 Household at same address- $35
( Half dues for new members only after June 30 )
WRITTEN APPLICATION: PLEASE PRINT BOLDLY
NAME #1:_______________________________________________________________
NAME #2:_______________________________________________________________( FOR HOUSEHOLDS )
NAME #3:_______________________________________________________________( FOR HOUSEHOLDS )
ADDRESS:_____________________________________________________________________________________
EMAIL:________________________________________________________________________________________
HOME TEL:_____________________________CELL:______________________________
ARE YOU A REGISTERED DEMOCRAT AT THE ABOVE ADDRESS? YES/NO #1_____#2_____#3____
ARE YOU A COMMITTEE MEMBER?_____ IF SO, WHAT ED? ________
TYPE OF MEMBERSHIP AND FEE ENCLOSED__________________________________________________
PAID FOR BY: CASH_____ CHECK ______ CHECK NUMBER______________
SIGNATURES______________________________________________________________DATE______________
RECEIVED BY TREASURER (SIGNATURE)__________________________________DATE______________
ANYTHING YOU WOULD LIKE TO VOLUNTEER FOR OR JUST TELL US ABOUT YOURSELF ?
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"Dedicated to Promoting the Principles of Equity and Justice Through the Rule of Law "
