Please print and mail this form
Metropolitan Greater Oakland Democratic Club
FPPC# 790500 (California) FEC# C00402651 (U.S.)
JOIN US!
New Member ____
Renewing Member ____
(please check one)
Membership is open to all registered Democrats.
Benefits include our monthly newsletter, invitations to special events,
political education programs,
and working with other active Democrats on behalf of
Democratic candidates and causes.
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City: ____________________________________ State: ______ Zip: ___________________________
Check here if the above is a new address: _____
Phone: ___________________________________ Email: _______________________________________
EMPLOYER (required by law) ________________________________________________________
OCCUPATION
(required by law)
_____________________________________________________
Enclosed is my check to “M.G.O.” for:
| Senior/Student
$20 _____
Individual $30 _____ Family $45 _____ |
Please contact me about volunteer opportunities (check here) ___________ |
Mail to: M.G.O., P.O. Box 11622, Oakland, CA 94611
I confirm that this contribution is not made from the general treasury funds of a corporation, labor organization or national bank, or from the treasury of an entity or person who is a federal contractor. The funds are not being provided to me by another person for the purpose of making this contribution. I am at least 18 years old.