| The
Barron County Democratic Party
cannot succeed without people like you! Anyone who commits him-
or herself to the principles of the Democratic Party is welcome
to join.
It’s only $10/student/limited income, $25/single, $35/pair,
$45/activist, or $75/family! If you renew now, you get the full
12 months’ worth of membership! You can vote on party
matters (everyone is welcome at our meetings, but only members
can vote or submit resolutions). Best of all, you will help
to support Democratic coalitions in our state. The party is
growing and we would love to continue the trend. Help us meet
our goals!
Your
treasurer, Clarice Fall, requests that you renew locally by
sending your check to the address below. Tell us what level
you would like to join at, and include your name(s), address,
phone number, email, occupation, township, and congressional
district, if you know what it is. We will do the rest.
Democratic
Party of Barron County
c/o Clarice Fall, Treasurer
726 E. Birch St.
Barron, WI 54812
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Barron
County Congressional District 7
Senate Districts 23 or 25 (Circle one, if known)
Assemby Districts 67 or 75 (Circle one, if known)
Name(s)_________________________________________________
Address_________________________________________________
City __________________________
Zip Code___________________
Home Phone
(_____)_____________ Email______________________
Occupation
______________________________________________
Employer's
Name __________________________________________
$25
General Membership (add $10 for each additional
household member)
$35 Pair
Membership
$45 Activist
Membership (up to three household members)
$75 Family (includes all family members
+ bumper sticker)
$10 Special
Check one: Student Unemployed Senior citizen
(add $10 for each additional household member)
$120 Supporting (includes all family members
+ lapel pin)
$240 Friends (includes all family members
+ silver lapel pin)
$500 Patron (all family members + gold lapel
pin + 2 Jefferson/Jackson Gala tickets)
$1,000 Finance Council (family listing,
2 Jefferson/Jackson Gala tickets, 2 pre-event tickets + gift)
Total amount paid $_______________
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