Home of the North Dallas Texas Democratic Women

Membership Application & Renewal FormNDTDW is a General Purpose Political Action Committee (GPAC).  Your local dues go to support the activities of the club, but more importantly, to contribute to local candidates and organizations.  Any support above the Ann Richards Level, Goes to increase those contributions.  At every level, $10 goes to our parent organization, Texas Democratic Women, which is also a PAC.  We now offer gift memberships for that person that has everything.  Click here for details.

Please Fill Out the Following to Join NDTDW
First Name:
Last Name:
Birthday: Mo/Day
Spouse or Partner's Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Home Phone:
Mobile Phone:
Work Phone:
Email:
Occupation (TEC Requirement):
Employer (TEC Requirement):
  $40 Ann Richards Membership Level
  $75 Rosa Parks Membership Level
  $125 Eleanor Roosevelt Level
  $10 Student Level (Must be currently enrolled in High School or College to qualify)
  I would like to apply for a Scholarship Membership**

I authorize NDTDW to publish my name as a member in "The Link" newsletter.
  I authorize NDTDW to list my membership information in the club directory.
  I have PAID BY CREDIT CARD
  I will MAIL MY CHECK (NDTDW, 3920 Sleepy Lane, Dallas, TX 75229)
  Notify me of Bunco Parties
  Notify me of Movie Club Outings
  Notify me of Book Club Meetings
**Scholarship Applicants:
Write a short essay, 50-
100 words as to why we
should award you a
scholarship.

Those awarded
Scholarships pledge to regularly attend meetings
and participate in club events
and projects whenever
possible.


If you wish to pay by credit card, please do so BEFORE submitting your application.  After you pay you will be directed back to this page, to fill out your application and submit it!
I wish to charge my membership on my credit card.

Ann Richards Level Membership - $40
 Rosa Parks Level Membership - $75
 Eleanor Roosevelt Level Membership - $125
 Student Level Membership - $10

 

NDTDW collects personally identifiable information when you fill out a Membership/Renewal Form, such as your e-mail address, physical address, name, and phone number, occupation and employer.  This information is used to keep you notified of club events via email and our newsletter The Link.  It is also used in reporting to the Texas Ethics Commission since we are a Political Action Committee.  We also publish the information in our yearly Member Directory.  NDTDW does not sell, rent or lease its member lists to third parties.  If you have any questions about our policies, please do not hesitate to contact us at info@nddw.org.

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