Harrisonburg Democratic Committee Declaration Form, 2022-2024

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I, the undersigned, am a Democrat.
I am registered to vote in the city of Harrisonburg.
I am not a member of any other political party.
I will not support any candidate opposed to any Democratic nominee.
I support the principles of the Democratic Party.
I will support the Harrisonburg Democratic Committee.

电子邮件地址 *

First and Last Name *

Address *

Precinct where you vote *

Phone *

By typing your name and the date, you affirm the statement at the top of this form. *

Do you plan to be an active voting member of HDC and agree to attend the required number of monthly meetings per the HDC bylaws? *

Yes

(To be filled in by HDC): This person is confirmed as a voter registered in Harrisonburg.

Yes

VAN Number:

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