$10.00 Student/Hardship due $10.00 Associate members $30.00 Annual dues $35.00 Gloria Steinem Society $50.00 Katherine Johnson Society $75.00 Hillary Clinton Society $100.00 Shirley Chisolm Society Custom Amount Please enter an amount $ One-Time Donation Weekly Donation Monthly Donation Pay dues/send funds Pay dues/send funds Membership Application Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * I am a registered Democrat in (County) * Precinct number (Optional) Month and Day of Birth (used to verify voter registration) * In addition to dues, you or a friend/ family member can join a society. Society members are recognized in with club/region activities such as printed materials. These funds help build the club and are in addition to dues and/or for family members who want to give support but are not a member Scroll down to view payment methods I am interested in becoming involved in the following areas: Campaigns Legislative Advocacy Outreach/Events Printed Communications Social Media Communication Electronic Communication Programs/ Monthly meeting coordination Membership Thank you!