Join Our Club

Email Membership Form:

Democratic Club of Santa Rita Area
Todays date:

Name: Phone:

Address:

City: State: Zip:

E-Mail:

Federal and State Election Laws require the following

Employer: Occupation:

Please indicate by checking any of the following boxes where you may be able to help the Club.

Program Planning  
Telephoning  
Social Planning/Food  
Voter Registration
Publicity  
Fund Raising  
Headquarters Staff  
Precinct Worker

Other Skills:Please specify



Note:
This form cannot be sent via e-mail if you are using a 'web based' e-mail system, i.e. yahoo.com, hotmail.com or msn.com. Forms can be obtained by calling Susan MacMillan at the DCSRA office (520) 838-0590

If you wish, you may access the Membership Application form, which is a PDF file, in your browser.

DCSRA Dues:

Annual dues are $15.00 per person. (Additional amounts are always welcome).

Make checks payable to DCSRA

Mail checks to DCSRA,
Attn. Susan MacMillan
P.O. Box 131
Green Valley, AZ 85622