Progressive Democrats of San Diego

Progressive Democrats of San DiegoMembership Application

Print Out, Complete & Mail

Name: ________________________________ Home Phone: __________________

Address: ______________________________ Bus Phone: ____________________

City: ___________________ Zip: __________ Email: ________________________

Special Skills or Interests: __________________________________________________

Annual Membership Dues: Individual $20, Family $30, or Student: $10: _____________

If applicant is a member of any other Democratic Club, membership is 1/2 of the above

I would like to make an additional contribution of: _______________________________

Please print and complete this for and mail with payment (payable to PDSD) to:
PDSD, P. O. Box 3256, Vista, CA 92085

For more information about becoming a member of Progressive Democrats of San Diego (PDSD), contact:

Dwain Deets

760-445-3242 or dadeets@cox.net