CoronadoDems New or Renewal Membership Application

New or Renewal Membership Application

https://coronadodemocrats.com
To Join or Renew by Check, please fill out this form and submit it electronically below.

Please mail your check separately to:
Coronado Democratic Club
P.O. Box 181351
Coronado, CA 92178-1351

Make your check payable to Coronado Democratic Club.

If you wish to pay by credit card use our online application on the membership page of our website.

All memberships run from January 1 to December 31 each year.

Students, who receive a FREE membership, can now use the online form on the membership page.

If you have any question or need additional information please email: patti.flores.charter@gmail.com

Please note: Our bylaws state that only registered democrats, who have been Club members for at least 30 days, may vote on candidate endorsements or ballot measures.
This is a:*

New MembershipRenewal Membership
Membership Types and Amounts:*

Individual Membership — $30 per yearFamily Membership (includes partner & children under 18) — $50 per yearSustaining Member — $150 per yearPresident's Circle — $250 per yearStudent Membership — $0 (Please list school and grade/year in next section)
For Students Only, please list your school and grade/year:
Name Member #1 used to Register to Vote*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthdate (Required by CA Dems)*

MonthDayYear
Date
Are You a Registered Democrat?*

YesNo
Name of Member #2 Used to Register to Vote (if applicable)

First NameLast Name
Phone of Member #2
Please enter a valid phone number.
Email of Member #2
example@example.com
Address of Member #2 (if different from Member #1)
Birthdate of Member #2

MonthDayYear
Date
Is Member #2 a Registered Democrat?

YesNo
Information About Volunteering & Donations

If you are interested in volunteering with the Club please visit the "Volunteer" page on the Website for information.

Please let us know in the form linked on that page if you have a particular set of skills or talents that you'd like to share with us and use with any of our volunteer efforts. We'd love to meet and work with you!

To make donations to the Club visit our Membership Page and use the "Custom Amount" field on the Membership form.
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New or Renewal Membership Application

Information About Volunteering & Donations