WE DO Membership Form

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WE DO Membership Form

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Street Address *

Your answer

Town

Your answer

Zip Code *

Your answer

Phone Number *

Your answer

Email Address *

Your answer

Membership Year *

Your answer

New Member?

NEW MEMBER

RENEWAL

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Annual Dues *

Regular Member: $35

Student: $15

How would you like to pay your dues? *

Mail a check made payable to WEDO of Bergen County to 14 Lenox Avenue Dumont, NJ 07628

Make a credit card payment (https://secure.actblue.com/donate/wedomembershipdues)

Do you hold a public office? *

Yes

No

If you hold a public office, what office is it and where do you serve?

Your answer

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