REMINDER: ECDA Dues Due!
Remember: Member dues for 2012 are due ASAP. Please send your check made out to “East Cobb Democratic Alliance” to our treasurer, Guy Swift, 511 Windgrove Rd., Marietta, GA 30067-5659. Please detach and enclose the form below. Or, bring the check to our next meeting on January 19. Questions, call Chair Tom Barksdale 770-715-1218.
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Grassroots Supporter Membership, $25.00 _______________
- ECDA Membership for the 2012 calendar year
Candidate Supporter Membership, $100.00 _______________
- ECDA Membership for the 2012 calendar year $25.00
- ECDA 2012 Candidate Support Fund** $75.00
Total $100.00
Enclosed, find my check for ________________ for my 2012 membership dues made payable to the East Cobb Democratic Alliance.
Name: __________________________________________________________
Street: ____________________________________________________________
City:__________________________ State ___________ ZIP: ___________
Telephone: (H) ________ ________(W)________________ Mobile ____________________
E-mail Address: ________________________________________
Occupation: (Optional) ___________________________________
Employer: (Optional) _____________________________________
Signature: _____________________________________________
Date: ____________________________-
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