Membership / Renewal Application Donation Block Set up a payment processor to start receiving donations. $100.00 Kamala Harris Society $75.00 Hillary Clinton Society $50.00 Katherine Johnson Society $35.00 Gloria Steinem Society $30.00 Membership/Renewal $10.00 Associate Member $10.00 Student/ Hardship Membership Custom Amount Please enter an amount $ One-Time Donation Weekly Donation Monthly Donation Quarterly Donation Annual Donation Support us by covering the fees we have to pay 3% Cover the Fee Payment Payment Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country I am a registered Democrat in (County) * Precinct number (Optional) Month and Day of Birth (used to verify voter registration) * I am interested in becoming involved in the following areas: Campaigns Legislative Advocacy Outreach/ Events Printed Communications Social Media Communication Electronic Communication Programs/ Monthly Meeting Coordination Membership Enrollment Society Membership In addition to dues, you can join a society. Society members are recognized in with club/region activities such as printed materials. These funds help build the club and are in addition to dues for members who want to give support to help our club grow and reach our goals Thank you!