NYSFDW Membership Form

Personal Information

Name*

First NameLast Name

Personal Contact Information

Preferred E-mail*

Home Address*

Street Address

Street Address Line 2

CityState

Zip Code

County*

Home Phone

Area CodePhone Number

What interests you with NYSFDW?

NetworkingWays to Support Democratic WomenMaking a Positive ChangeLearning and Personal Growth

What items would you like to do as a member?

Learn more about board/leadership positionsAttend Events and Learning Opportunities

Are you interested in starting a local chapter?

YesNoOther

Are you a member of NFDW? (National Federation of Democratic Women)

YesNo

After you fill out this application you will need to submit your due at ActBlue. PLEASE CLICK HERE TO OPEN YOUR LINK TO ACTBLUE TO PAY YOUR DUES IN ANOTHER WINDOW

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PAY DUES NOW

Annual dues is $10 for Individual Members and $50 for County Chapters or Clubs.

Please note: If you are a paid member of your local chapter or club, you are not required to pay dues to the NYSFDW. If you a member of a local chapter or club please type which club/chapter for verification below.

If you are a member of a local chapter or club please write which one here:

I have completed my yearly due payment on ActBlue: (see above question)*

YesNo

E-Signature Name*

Date*

Date

2025 New York State Federation of Democratic Women Membership

NYSFDW Preferences

NYSFDW Dues