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2025 MEMBERSHIP FORM
New Member __________ Renewal __________
Membership Category(check one)
Individual ($25) ____
Family: two adults in the same household ($40) _______
Low Income ($15) __________ Low Income Family ($20) __________
Sponsor ($50) __________ Patron ($100) __________
Name __________________________ Date __________________
Address __________________________Apt. # _______________
City ________________________ State _______ ZIP ________
Phone (Home) ____________________ (Cell) ________________
Email _______________________________________________
Please pay your dues with a check, money order or via PayPal by following this link to the Three Parks website. Please make out all checks to Three Parks Independent Democrats.
Mail to: Three Parks Independent Democrats
Cathedral Station, P.O. Box 1316
New York, NY 10025
Attention: Treasurer
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