Donate any amount

Basic Membership
$35.00
Silver Membership
$50.00
Gold Membership
$65.00
And fill out this membership form
La Mesa-Foothills Democratic Club
PO Box 433
La Mesa, CA 91944-0433
MEMBERSHIP DUES
DUES for membership year January 1, _____ to December 31, _____
Make your check payable to LMFDC or La Mesa-Foothills Democratic Club
Silver & Gold Memberships make it possible for us to fund
our club-supported candidates and causes!!
Dues are not tax deductible.
_____ Person(s) Basic Dues @ $35 each $_________
_____ Person(s) Silver Member @ $50 each $_________
_____ Person(s) Gold Member @ $65 each $_________
Additional Donation to Operating Fund $_________
Additional Donation to Candidate Fund $_________
TOTAL ENCLOSED $_________
Name (s): First _____________________ Last _____________________________
First _____________________ Last _____________________________
Address ______________________________ Apt. #________________________
City _________________________ Zip ___________ Phone _________________
Email: _____________________________________ Fax: ___________________
Employer: ____________________________ Position: ____________________