HANK SHEINKOPF GOES STONEWALL

STONEWALL GENERAL MEETING

7:00 P.M. 

PO Box 514, Old Chelsea Station, New York, NY 10113   212-330-6572 • sdnycpresident@gmail.com

STONEWALL DEMOCRATIC CLUB OF NEW YORK CITY 2009 MEMBERSHIP FORM

Name: _______________________________________________

Partner's Name (for Family Membership): _______________________________________________

__ I am a returning member renewing my dues. __ I am a new member.

__ I receive mail and email from the club.

__ My information has changed.

Membership Type:

__$35 Individual, including membership in National Stonewall Democrats

__$25 Individual, without National Stonewall Democrats

__$50 Family, including membership in National Stonewall Democrats

__$35 Family, without National Stonewall Democrats

__$13 Student, Retired or Disabled

Please return to the above address with a check or money order payable to "Stonewall Democratic Club."

Home Address: __________________________________________________________

Email Address: ___________________________________________________