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MCDC Membership Application
I, the undersigned, hereby state that I am a Democrat, that I am a registered voter in Madison County, that I believe in the principles of the Democratic Party, and that I do not intend to support any candidate who is opposed to a Democratic nominee in the next ensuing election. Suggested annual dues are $25. For ages 18-25, suggested annual dues are $10. Donate online at
https://secure.actblue.com/donate/mcdcmembership
.
You can also mail a check to:
Madison County Democratic Committee, P. O. Box 81, Madison, VA 22727
.
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Email
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Your email
Name
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Your answer
Address
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City and Zip Code
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Phone (Land and/or Cell)
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Congressional District
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7th
County
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Madison
Voting Precinct
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Madison
Radiant
Oak Park
Brightwood
Rochelle
Wolftown
Graves Mill
Criglersville
Etlan
Signature and Date
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