Make a membership donation to Eastern Washington Voters

Please make checks payable to: Eastern Washington Voters.

Also, please print this form, fill out, and mail to: 605 NW Fisk #9b, Pullman, WA 99163.  Donations are not tax deductible. 

Name: _______________                                

Mailing Address: ______________________    

City:                                   State:       Zip:         

Street Address: ___________                           

Email: _____________                                     

Phone:                                      Precinct: ______

$35               $50 ____     $100         

$250 ____ $500 ____   Other          

*Occupation:                                                     

*Employer:                                                        

*Employer’s address:                                         

*City:                              State:       Zip:           

*Required by the Washington State Public Disclosure Committee. 

__      Check here if you do not want your name share with other progressive groups. 

What are you going to do to help Democrats win in 2004?  We know that you are going to vote, but will you also . . .

__      Register yourself to vote by mail?

____      Volunteer to canvass your neighborhood with EWV?

__     Volunteer to phone voters for EWV?

__      Help with office work for EWV?

____      Volunteer for tabling and leafleting for EWV?

____     Donate to EWV?