Talbot County Democratic Forum
PO Box 66
Easton, MD 21601
Print out and send to the above address with your check payable to the: Democratic Forum.
| Name: ________________________________________________________ |
| Street: ________________________________________________________ |
| City: ___________________________________________________________ |
| State: _______________________
Zip: ______________________
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| Phone: _______________________
Email: ______________________
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___Member $20 ___Couple $35 ___Supporter $45 ___Associate $50
Contribution To Keep the Forum a Democratic Fighting Machine
___ Red $100 ___ White $250 ___ Blue $500
___ Other
Want to join a working committee? Check off one of the committees listed below:
_____Hospitality _____Communication _____Fundraising
_____Legislative Action _____Minority Outreach _____Environment
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