Please print out this page, fill out the form below,
and mail in with a $20 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____________________________________________________

Please enclose this form and $20 check payable to:  WDC
and mail to the Treasurer:
Gretchen Fathauer
PO Box 307
Duncan Falls, OH 43734

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