Membership Application

Membership in the African American Democratic Club of Montgomery County will offer you the opportunity to be better engaged in your community, the political process; and become actively involved in local, state, and national politics through community action, events and forums. Active Club members must be registered Democrats who live or work in Montgomery County.

INSTRUCTIONS:

Print your completed application form. Then make a check payable to the African American Democratic Club of Montgomery County (AADCMC).

Return completed application form and check to: AADCMC • PO Box 18054 • Silver Spring, MD 20914

Direct questions about membership to Anthony Jones, Membership Chair, at membership@aadcmc.org or call 301-761-4481.

If you would prefer to fill out a PDF version of this form Click Here!

Name: Address: City: State: Zip Code Phone Number: E-mail Address: MEMBERSHIP STATUS (click on the appropriate checkbox): YES I am a registered Democrat who lives or works in Montgomery County No, I am not a registered Democrat but I live and work in Montgomery County Yes, I am a registered Democrat and I don’t live in Montgomery County (Associate) CONTRIBUTING STATUS (click on the appropriate checkbox): Regular Membership level .....................$25 Youth Member level (13-17 years) ............$15 Senior Membership level (65+ years) .........$15 Associate Membership level .......................$20 What Activities Do You Want to Participate In? Voter Registration Get Out the Vote Issues Task Force Community Outreach Membership (Outreach & Development) Communications & Public Relations Community Forums What Activities Do You Want to Participate In? Education Transportation Environment Health Healthcare Civil Rights Community Planning and Development Economic Development