__________________________________                             Please help a bit more with a first-class stamp                                                                                                               __________________________________                                                  __________________________________                                                            Clinton County Democrats                                                P.O. Box 1713                                                Clinton, IA 52733-1713
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	I want to be part of the                                Name _______________________________________ Thomas Jefferson Cabinet so I can support the Clinton County Democrats,             Address  ____________________________________ receive a lapel pin, the newsletter, and a Hall of Fame dinner ticket. I am enclosing     City ___________________State ___ Zip __________ a check for $100 made out to Clinton County Democrats for an annual membership.  email address (for the newsletter) ___________________________________________________ Please fold this form along the dotted lines so that our address is on the outside and your information is on the inside.  Put your check inside, and tape the edges securely.  Please help us out by attaching  a first class stamp, and drop into a mailbox.   Thank you for supporting Democratic values.