CHADDS FORD

DEMOCRATIC PARTY

CHADDS FORD TOWNSHIP, DELAWARE COUNTY, PENNSYLVANIA

 

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Accomplishments

 

 

Helping with your Involvement

 

            ____I would like to Volunteer / be active in Democratic politics

            ____ Locally ( Chadds Ford, Delaware County)

            ____ Other ( State, National)

Please note all that apply to your interests, abilities and objectives:

 

            ____ Phone friends and neighbors to get out the vote

            ____ Canvass/circulate petitions in my neighborhood

            ____ Deliver campaign literature in my neighborhood

            ____ Allow signs on my property for candidates I support

            ____ Help staff our activities at the polls

____ Donate food, phones or workspace for volunteers

____ Perform data entry  or other office work needed

            ____ Other - Please tell us how you would like to help:

 

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Please help us understand your personal / political Interests and Skills:

 

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Helping with Your Financial Commitment and Support

 

_____ I am joining/renewing membership in the Chadds Ford Democratic Party.
            Donation:  $25/person.

 

 

_____ I would like to make an additional donation of:

 

$25   □ $50    $100    Other $____

 

_____ I am not joining the Chadds Ford Democratic Party but would like to make a donation of:

 

$25    $50    $100    Other $____

 

Please make checks payable to the Chadds Ford Democratic Party and return, with this form, in the enclosed envelope to PO Box 875, Chadds Ford, PA 19317.   ALL INFORMATION, INCLUDING THE FACT THAT YOU HAVE DONATED, WILL BE KEPT STRICTLY CONFIDENTIAL EXCEPT AS REQUIRED BY LAW

 

Name: _________________________________________________________________________

 

 

Occupation: ____________________________________________________________________

 

 

Address: _______________________________________________________________________

 

 

            ________________________________________________________________________

 

Email: _________________________________________________Phone:__________________

 

 

 

PO BOX 875

CHADDS FORD, PA 19317-0634

EMAIL: cfdp@comcast.net

FAX: (610) 358 5914