DEMOCRATIC CLUB OF LONG BEACH ISLAND MEMBER REGISTRATION FORM
Name: ________________________________________________________________
Name of spouse/partner if also registering: _______________________________
Street/Number: _____________________________ City: ____________ Zip: ______
E Mail: ___________________________________
Tel. Home: _____________________________ Work: _________________________
IMPORTANT: p
lease note that the Bylaws of the Club require that all members are registeredDemocrats AND that they are either registered to vote in LBI OR that they pay property taxes in LBI.
□ I/we are registered Democrats in: City: ___________________State:___________
□ I/we wish to register as Democrats. Please send us ____ forms.
□ I/we are registered to vote in Long Beach Island
□ I/we pay property taxes to a municipality in Long Beach Island
Annual dues $25 per person. Students: $5.
Amount enclosed: _________ Check payable to Democratic Club of LBI.
Date:___________________________ Signature: ____________________________
Join the Club
Print, complete
and mail the Registration Form to:
DEMOCRATIC CLUB OF LONG BEACH ISLAND
PO BOX 11, Ship Bottom, NJ 08008
QUESTIONS?