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ManitowocRecall.org

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Staffing Office
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Making Buttons




President Elect Barack Obama
Barack Obama
President
of the United
States of America


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Join the Manitowoc County Democratic Party

Use the form below to join the Manitowoc County Democratic Party or print this form if you prefer to join by mail. Your membership will be for the calendar year, and automatically includes membership in the Democratic Party of Wisconsin.

Please submit your membership information using this form. You will be given the option of mailing a check or paying online by credit card or PayPal.

Please Select Your
Membership Type 		$1200 - Investor (includes all family members)
$600 - Patron (includes all family members)
$240 - Friend (includes all family members)
$120 - Supporter (includes all family members)
$75 - Family (includes all family members)
$45 - Activist (up to 3 memberships)
$35 - Pairs (two memberships)
$25 - General
$10 - Limited Income (senior citizen,
                 student, unemployed, etc.)
Name(s)
Address
City
Zip Code
Home Phone
Work Phone
Cell Phone
Email Address
I am interested
in the following
issues:
Please include
any questions or
comments here:
 

 

 
 

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Manitowoc County Democratic Party