Your membership helps support party activities including GOTV efforts, candidate support services, political forums and the Lancaster County Democrat.

_______ $15 Student/Limited Income

_______ $30 Basic Membership

Return this coupon to the Lancaster County Democratic Party, PO Box 83213, Lincoln NE 68501-3213.

Make check or money order payable to Lancaster County Democratic Party or charge to:

_______ VISA _______ MasterCard # ______________________________ Exp Date _______

I prefer to get my newsletter (please check one): _______ via e-mail or _______ via US mail.

Name: _______________________________________________________________________

Address: ___________________________________________________________

City: ______________________________ State: _________ Zip: ____________________

Home Phone: ___________ Work Phone: __________ Email: ___________________________

I would also like to volunteer: _____ Prepare Mailings _____ Phone Banking _____ GOTV