Adelanto-Victorville
Democratic Club
2021 Membership Application
once again, it is time to renew your membership!
2021 Membership Application
$20.00/year per person
Date_______________________
Cash___________ Check____________ (check is preferred)
Make checks payable to: ADVDC (Adelanto-Victorville Democratic Club)
Memo: 2021 Membership Dues. Note: Dues runs from January to January.
New Member______________ Renewing Member _________________
Name #1 ___________________________________________________________________
Name #2 ___________________________________________________________________
Address______________________________________________________ Zip ___________
Phone #1 _______________ Email ______________________________________________
Phone #2________________Email ______________________________________________