2012 Membership Dues and Renewal DOWNLOAD FORM HERE
“For everyone who’s ever been counted out but refused to be knocked out and for everyone who works hard and never gives up. This one is for you!”
Yes, I want to join/renew with the Nebraska Democratic Women’s Caucus!
Mailing Address: _____________________________________
City: _______________County:_________State: ____ Zip: ________
Telephone: _____________ Email: _______________________
SUGGESTED ANNUAL MEMBERSHIP CONTRIBUTION - $15.00 Not Tax Deductible
Please make check payable to Nebraska Democratic Women’s Caucus.
Mailing address: Mary Herres, State Chair (email@example.com)
2840 South 33rd St., Lincoln, NE 68506 (402) 617-2089
This is a Membership Renewal (Due by july 1)