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Sunset Community Democratic Club Membership Form
Please print this page and mail to: Avrum Shepard, 1037 Portola Drive, San Francisco, CA 94127
$25 General Membership, $35 Family (Two votes), $60 Sponsor, $100 Patron, $10 Youth/Senior/Limited Income

First Name:                          Last Name:

Street Address:      Zip Code:  


Please provide phone numbers in the following format: (415)123-1234

Home Phone:          Work Phone: 

Cell Phone:             Fax Phone:    

Email Address:

Please enter any comments you wish to make or your areas of interest below: