2019 United Democratic Women of Maryland, 

 
United Democratic Women of Maryland
Application for Membership
Mail-in Application (Print-Complete-Mail with Check)

 

Application is hereby made for membership in the United Democratic Women of Maryland.

 

I am a registered Democrat in the State of Maryland.

 

Name: _________________________________________________________

 

Address: _______________________________________________________

________________________________________________________________

________________________________________________________________

 

County: _______________________________

 

Phone Numbers: (H)_______________________ (W) _______________________ ( C )____________________________

 

Email: __________________________________________

 

Local Democratic Clubs to which you belong (if any:) ____________________________________________________________________

____________________________________________________________________

 

Have you ever been a member of a Central Committee? __________  County and Date(s)? ________________________

 

Signature: __________________________________________ Date: __________________

 

Annual Dues: $20 ($10 Young Dems or if joining after June 30th)     __________

Additional donation to UDW-MD                                                             ___________

Total enclosed:                                                                                         ___________

 

Make checks payable to UDW-MD and mail application and check to :

 

          Jody Oliver

          635 Arundel Street

          Cumberland, MD  21502

 

   Authorized by the United Democratic Women of Maryland, Jody Oliver, Treasurer

www.udwmd.com