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BECOME A MEMBER OF THE GREEN PARTY

We have set the requested annual dues for membership in the
Green Party of Camden County at just $15. No interested resident of
the county will be refused membership for financial reasons. Most
important is a person's commitment to our shared values and
involvement in the party organization. If you would like to contribute
to our efforts or become a member, the process could not be easier.
Please complete the form of Membership Application provided below and
send it to us at:
Green Party of Camden County
125 7th Avenue
Haddon Heights, New Jersey 08035
Or contact us by e-mail.
Green Party of Camden County
Membership Application
- NAME:
______________________________________________________
- ADDRESS:
___________________________________________________
- CITY/TOWN:
_________________________________________________
- ZIP CODE: _____________
- PHONE (home): ____________________________
- PHONE (cell): ______________________________
- E-MAIL ADDRESS:
__________________________________
- E-MAIL ADDRESS (alternate):
__________________________
- SPECIAL SKILLS/INTERESTS:
________________________________________________________________
________________________________________________________________
________________________________________________________________
- COMMITTEE(S):
_________________________________________________________________
_________________________________________________________________
I, ____________________________, will adhere to the
by-laws of the Green Party of Camden County, and will represent
the 10 Key Values of the Green Party of Camden County.
SIGNATURE: ______________________________________________
DATE: ________________________
New Member Package:
____ GPCC By-laws
____ Voter Registration Form
____ GPCC Brochure
____ Voter Affiliation Form
____ Member Dues Enclosed ($15.00)
____ Additional Donation Enclosed ($_____________)
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