CVDC Membership Form

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Chula Vista Democratic Club Membership Form

This form will allow the Chula Vista Democratic Club and its members to maintain its charter with the San Diego County Democratic Party (https://sddemocrats.org). The following information is required by the Fair Political Practices Commission and the San Diego County Democratic Party.

To pay membership dues, see bottom of page.

**You will not be considered as having joined or renewed your membership until the date upon which you submit this membership form, AND paid your $20 dues (or obtained a waiver from the Executive Board), whichever is later.

First Name *

Last Name *

Pronouns

She/her/hers

He/him/his

They/their/theirs

Other:

Clear selection

Physical Address *

Phone *

Occupation

Are you a registered Democrat (or if not eligible to vote, do you intend to register as a Democrat when eligible)?

Yes

Clear selection

CA State Assembly District (AD) Number (Not sure? Check here: http://findyourrep.legislature.ca.gov/)

78 (includes portions of Chula Vista)

79 (includes portions of Chula Vista)

80 (includes portions of Chula Vista)

Other:

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Is Chula Vista Democratic Club your "home" club? (If you are a member of another Democratic club in San Diego County, do you consider this your "main" club?)

Yes

No, I have declared another club as my "home" club

Not sure

Clear selection

Are you paying your dues today using our online payment system?

Yes

No, I will pay with a check

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A copy of your responses will be emailed to the address you provided.

Submit

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