Join the MDP

Click Here to Download a Membership Application in PDF format, or use the form below to sign up online.

Contributions are not tax deductible for federal income tax purposes.

Your contribution could be used in connection with federal elections and is subject to the limitations and prohibitions of the Federal Election Campaign Act. Paid for by the Michigan Democratic Central Committee/Michigan Democratic Central Committee Federal Account, 606 Townsend, Lansing, MI 48933, 517-371-5410, and not authorized by any federal candidate or candidate’s committee. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and employer of individuals whose contributions exceed $200 in a calendar year.

YOUR MEMBERSHIP IS VALID FOR ONE (1) YEAR FROM THE DATE WE CHARGE YOUR ACCOUNT unless 2 year membership is checked. All memberships are for an individual (except Couples Membership)


















Trustee – $2,500
Neil Staebler Club – $78
Retiree – $10
President’s Club – $1,000
Couples – $60
Student – $10
Eleanor Roosevelt Club – $300
Supporter – $40
Century Club – $125
Basic – $20


 I am enclosing dues for a two (2) year membership

Please charge my credit card:
 Full Amount
 Quarterly*
 Monthly*
*Quarterly and Monthly billing available for Neil Staebler and above memberships only
Member Information
* Legal First Name :
Partner/Spouse Name:

( * for Couples membership)
* Legal Last Name :
* Credit Card Billing Address :
* City/State/Zip :
Residence Phone :
* E-Mail :
Home Address :
(* if different from billing address) 
City/State/Zip :
Employment Information
Occupation :
Name of Employer :
Employer Address :
City/State/Zip :
Business Phone :
Fax :
* Required