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 residents to get out the vote

            ____ Canvass/circulate petitions in your neighborhood

            ____ Deliver campaign literature in your neighborhood

            ____ Allow signs on your property for candidates you 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:

 

 

           

 

 

 

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

 

 

 

 

 

 

Helping with Your Financial Commitment and Support

 

_____ I would like to join the Chadds Ford Democratic party

□ $10   □ $25   □ $50   □ $100   □ Other $____

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

□ $10   □ $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:______________________________________________