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Email
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I currently serve as
Ward Chair
Precinct Executive
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Street address
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Phone
Format: XXX-XXX-XXXX
Skills, experience, or interests you would like to contribute to the Club
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Membership Dues
Please waive my dues at this time (confidential)
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Monthly dues amount
$
Suggested minimum $1.00/month.
Additional contribution to support member financial assistance
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$
Payment cadence
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Payment method
Cash
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Cash App
Credit or Debit Card
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