Please print this form on your printer for membership applications. Oakhurst Democratic Club Membership Form Dues are: $5.00 per year per person The membership year runs from July 1st - June 30th. Please join us at 9:00 AM the first Saturday of every month at the Ol' Kettle Restaurant. For more information see our web site at www.yosemitedems.net, or call 658-2342 for dates and times. Today's Date: ________________ First Name: _______________________________ Last Name: _______________________________ Mailing Address: __________________________ City: ____________________________________ State: ______________________ Zip Code: __________________ Phone No. (please include area code): _________________________ e-mail address: ______________________________ First Name: _______________________________ Last Name: _______________________________ Mailing Address: __________________________ City: ____________________________________ State: ______________________ Zip Code: __________________ Phone No. (please include area code): _________________________ e-mail address: ______________________________ First Name: _______________________________ Last Name: _______________________________ Mailing Address: __________________________ City: ____________________________________ State: ______________________ Zip Code: __________________ Phone No. (please include area code): _________________________ e-mail address: ______________________________ Total Amount Enclosed: _____________________ Please mail form and check payable to the Oakhurst Democratic Club to: Oakhurst Democratic Club P.O. Box 760 Oakhurst, Ca. 93644 (559) 658-2342 THANK YOU!