Fayette Democrat

Date_________________

NAME_______________________________      PHONE________________________

ADDRESS_____________________________      CELL__________________________

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EMAIL_________________________________

OCCUPATION____________________________  MILITARY______________________

CHURCH AFFILIATIONS____________________HOBBIES________________________

CAMPAIGNS YOU WERE INVOLVED IN____________________________________

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POLITICAL TRAINING_____________________________________________________

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WOULD YOU BE INTERESTED IN DOING: (PLEASE CIRLCE THE ONES)

PHONE BANKING         CANVASSING             FUNDRAISER         REGISTRATION DRIVE

DUES FOR 2009 ARE                         MAIL COMPLETED APPLICATION & DUES TO:                          

15.00 PER PERSON                                  FAYETTE DEMOCRAT

25.OO PER COUPLE                                 P. O. Box 1223       

COLLEGE STUDENTS $5.00                     FAYETTEVILLE, GA 30214-6223                   

HIGH SCHOOL STUDENTS FREE.                                                    

 IN ORDER TO EXPAND FD, COULD YOU LIST TWO

WHO YOU THINK MIGHT BE DEMOCRATS

1._____________________________________ Phone/cell_______________________

email_________________________________________________________________

2._____________________________________Phone/cell_______________________

email________________________________________________________________