SPECIAL TIME
SPECIAL PROGRAM
FEBRUARY GENERAL MEETING
Wednesday, February 24
6:00 P.M.
LGBT Center
208 West 13th Street, Manhattan
Undeclared candidate for U.S. Senate
Installation of 2010 Officers
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PO Box 514, Old Chelsea Station, New York, NY 10113 212-330-6572 • sdnycpresident@gmail.com
STONEWALL DEMOCRATIC CLUB OF
2010 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
__$15 Student, Retired or Disabled
_____ Additional Contribution
Please return to the above address with a check or money order payable to "Stonewall Democratic Club."
Home Address: _______________________________________________________________________
Email Address: _______________________________________________________________________