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Join the PDC: $25 - Individual $30 - Household $15 - Student/Senior

The highly respected Peninsula Democratic Coalition (PDC) is the largest Democratic Club in Santa Clara County, with a long history of promoting Democratic candidates and ideals. We have members in Palo Alto, East Palo Alto, Stanford, Mountain View, Los Altos, Los Altos Hills, Sunnyvale, Cupertino, Menlo Park, Redwood City and surrounding areas.

Name(s): ________________________________________________

Address: ________________________________________________

City: _____________________________________

Zip: ____________________

Phone: (home) _________________ (work) ___________________

E-mail address: __________________________________________

[__] Individual Membership ( $25 per year)

[__] Household ( $30 per year)

[__] Students/Seniors ( $15 per year)

[__] I/we also want to join the Peninsula Young Democrats (35 years or younger)
(no additional cost but please provide birthdate(s) __________________)

Note: Your membership will expire 12 months from when this application is received. Please print and send this form along with your check to:

PDC
P.O. Box 97
Los Altos, CA 94023