Newtown Democrats Membership

Newtown Democrats Volunteer Form
(Please print your contact information below and mail in
or simply e-mail information to newtowndems@hotmail.com
membership can be paid by pressing the donate button on the sidebar)


First Name_________________

Last Name_________________

Mailing Address______________________

Development_______________________ Polling ________________Dist._______________

Email Address____________________

Home Phone___________Work Phone_______________

Cell Phone__________ Fax________________________

When are you available to volunteer? _____Days _____Nights _____Weekends

**ANNUAL MEMBERSHIP - $10.00/Ind. Or $20.00/Family(two or more per household)
Which activities are you interested in?
____ Make a political contribution (Payable to: Newtown Democrats-address below)
____ Becoming a local Democratic Committee Person
____ Writing letters to the Editor
____ Fundraising
____ Events
____ Mailings
____ Phone Banking
____ Local Poll Coverage
____ Voter Registration(Please call if you or someone you know needs a new voter reg. Form)
____ Canvassing/Lit Drops

GOING TO BE AWAY FROM YOUR POLLING AREA ? ASK FOR AN ABSENTEE BALLOT !!!! THERE IS NO REASON NOT TO VOTE!!!!

Would you be willing to Post a sign on your property? Yes_____ No_____

Remarks_____________________________________________

Mail form/and or donation to: Newtown Democrats, 1 Quince Circle, Newtown, Pa 18940
Attn: Harry Stevens, Treasurer or Email: NewtownDemocrats@CS.com or Newtowndems@hotmail.com