Please Print & Mail

Cape Coral Democratic Club Application & Registration Form

Please sign and mail the application with your check

Date________________ Precinct_____________

Voter Registration Number____________________

Name (please print):_________________________________________ Birth date: _______________

Address_____________________________________City___________________ZIP______________

Phone:_____________________________________ Email:_________________________________

Membership is $25 per year. Make check payable to Democratic Club of Cape Coral.
Remember you have to be a registered Democrat to be in our club.

Send it to:
Ms. Sharon Davies
Treasurer, Cape Coral Democratic Club
2623 SW 21st Place
Cape Coral, Fl 33914

Please indicate , with a check mark, which committee you are interested in joining,
since a club is only as good as its active members.
----- Finance
----- Membership
----- Program Committee (planning monthly meetings and special events)
----- Sunshine Committee (Advises membership when someone is ill, in the hospital,
lost a loved one, and may send cards and make hospital visits)
----- Social Committee (Coordinates refreshments at meetings, Christmas parties, etc.)
----- Technology
----- Publicity
----- Service Project Committee
----- Fundraising Committee
----- Issues

Directions - From Del Prado, turn onto Beach Blvd. Head down to Jaycee Park and turn right onto 20th.
PARK IN GUEST SPACES ONLY. Meeting is in the left tower, First floor.