Muskingum County Women's Democratic Club

Please print out this page, fill out the form
and mail in with a $15 check, to join the Club: 

Muskingum County Women’s Democratic Club
Dues are $20.00 of which $15.00 goes to candidates.

Please print clearly. Thank you.

NAME ________________________________________

ADDRESS _____________________________________

                  _____________________________________

HOME PHONE _________________________________

CELL PHONE __________________________________

EMAIL ________________________________________

COMMITTEE INTEREST __________________________

POLITICAL INTEREST ___________________________

Please enclose $15 check payable to:  
Muskingum County Women’s Democratic Club

and mail to:  

Barbara Anderson
300 Walnut Hills Dr.
Zanesville, OH 43701


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