MEMBERSHIP
APPLICATION
The purpose of the Organization is to affect change
and have a voice for all communities in proximity of Hwy 360.
Please complete the membership form below.
SUBMITTAL DATE __________________ PRECINCT# __________________
NAME __________________________________________________________________
ADDRESS _______________________________________________________________
CITY _____________________________ STATE ______ ZIP_______________
HOME PHONE: _____________________ CELL PHONE:_______________________
EMAIL___________________________________________________________________
EMPLOYER______________________________________________________________
OCCUPATION____________________________________________________________
NOTE: By state law, the 360 Corridor Democratic Action! MUST
report your employer and occupation information in
accordance
with ethics rules.
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COMMITTEES
I am interested in joining
the following committees:
Membership Nominating
Issues
Advocacy
Community
Service Legislative
Legal
Communications Fundraising Voter
Registration
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ANNUAL DUES:
My $25 annual dues are
enclosed as:
Cash Check
(payable to
360 Corridor Democratic Action!)
Send your
completed Membership Form to:
360 Corridor Democratic Action!
Signature:________________________________________ Date:_____________
Note:
Signing this form indicates your agreement to subscribe to the
purposes of the Organization
|
For Office Use Only: Received ________________________________________ Check #
__________ Processed _______________________________________ Batch #
__________ Completed
_______________________________________ Approved (Y/N) ____ |
The purpose
of the Organization is:
- To affect
change and have a voice for all communities in proximity of the 360
Corridor (all geographical locations near Hwy 360).
- To inform
political candidates and officeholders of issues of importance to our
supporters, herein also referred to 360 Corridor Community;
- To promote the
national, state and local Democratic Party's message of economic justice
and social progress in the 360 Corridor Community;
- To evaluate
candidates for public office and actively support those candidates who
best promote the Organization's mission;
- To encourage
the participation of members of the Organization in the campaigns of
Democratic candidates and at the local level (School Boards, City Councils,
Municipalities and Commissions, Planning & Zoning Committees) of the
Democratic Party;
- To ensure the
election of Democratic candidates to public office by maximizing
Democratic turnout in the 360 Corridor Community;
- To build
coalitions with other organizations and communities that support the
Organization's mission, reach out to underrepresented and diverse groups
within our community in order to bring about greater harmony and
understanding; and increase the Organization's visibility and influence
through participation in community activities and events;
- To strive to
make
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SUBMITTAL DATE: _____________ RECEIVED
BY: ____________________________
Send all correspondences to:
360 Corridor Democratic Action!
Email: Info@360CDA.org
Website: www.360CDA.org
|
|
Officers |
email |
|
President |
Anthony Langston |
President@360cda.org |
|
Vice President |
Cheryl Smith |
Vice-President@360cda.org |
|
Secretary |
Angela Abram |
|
|
Treasurer |
Sharen Wiltshire |
Treasurer@360cda.org |
|
Parliamentarian |
Richard Canada |
Parliamentarian@360cda.org |
Membership Application will be reviewed by 360 CDA and a confirmation
mailed to potential applicants within 10 business days.