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communityAlso in this section: Editor's note: Democrats Abroad are organizing themselves in Panama ahead of the 2006 congressional elections, and for those who are so inclined this is the... Democrats Abroad Membership Form
I want to be a part of Democrats Abroad’s global effort to elect Democrats to public office and work toward the goals and principles of the Democratic Party. Please sign me up now! _________________________________________________________ Name _________________________________________________________ Address ________________________________ _________________ ___________________ City Postal Code Country ________________________________ _________________ ___________________ Email Telephone Fax I am registered to vote in: County: ______________ City: ______________ State: ___ I am not registered to vote but would like to register. My last place of residence I the United States was: City: _____________________ State: _____ County (if known): ______________
I understand and agree that by submitting the above information to Democrats Abroad, I will hereby become a member and that my name and other information provide will become a part of the Democrats Abroad electronic database. I agree that Democrats Abroad may use my name and personal information for any lawful purpose. _____________________________________ ____________________________ Signature Date
Please return this form to:
or
or email
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Build a home in Las Cumbres with Villa Concordia --- http://www.thepanamanews.com/pn/site/pages/concordia.html Make the Executive Hotel your headquarters in Panama City --- http://www.executivehotel-panama.com Find the boat of your dreams through Evermarine --- http://www.evermarine.com |
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