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WEST SEATTLE DEMOCRATIC WOMEN

MEMBER INFORMATION FORM

WSDWomen@yahoo.com

 

MEMBER NAME: _______________________________________________________ 

 

Address (City, State, Zip):  _________________________________________________

 

Home Phone:  _________________ Cell Phone: ___________________

 

E-Mail Address:  _________________________________________________________

 

Meeting Reminder Method:  _____Home Phone     _____E-mail     _____Cell Phone

 

Legislative District:  _____              Precinct #: _____

GET ACQUAINTED:  Join a Committee   (Circle if one of the following interests you!)

         Outreach                                                Membership                         WS Timebank  

         Facebook                                                Website                                   Encouraging Girls into Politics

         Greeter                                                    Sign-in Table

          ________                                              ___________                                __________

 

*  What are your suggestions for speakers, discussions, forums, events for presentation by WSDW ?

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

*  What are your primary political and community interests?

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

*  Do you have skills, experiences or interests that you might contribute to WSDW to help everyone learn more about pertinent political and community issues?______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

*  How could WSDW help you learn more about pertinent political and community issues?

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

*  Are you willing to provide a ride to the meeting for another person?  ____________________________

 

*  Do you need a ride to the meeting?  ______________________________________________________

 

*  Do you have any special needs you would like us to be aware of in order to best accommodate your attendance at the WSDW meetings? 

__________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

Thank you.                                                                                                  *****DUES*****

 

Sincerely,                                                                                           Date: ________________________

The WSDW Executive Board                                                     Amount Paid: __________________