Membership

Yes, I’ll join the Democratic Party.

Name

 

Additional Names

 

Address

 

City, State, and Zip

 

Phone

 

Email

 

Congressional Dist.

 

Membership Type  (Circle Amount)

 


Activist family (includes up to 3 members)
Pair (2 non-family members)
General membership
Additional family members
Limited income/student/senior

$45
$35
$25
$10
$10

Additional Donation (to EC County Democratic Party)

 

Total Amount

 

Checks payable to: EC County Democratic Party
Send to: 405 S Barstow St - Eau Claire, WI 54701
This includes membership in both the county and state parties.
Paid for by the Democratic Party of Eau Claire County, Katy Phillips Chair

Email:  ecdemsfrontdesk@charterinternet.com  Phone715 852-0330  Address405 S. Barstow St. - Eau Claire, WI 54701  Fax715 852-0450