Somerset County Democratic Black Caucus Membership Application Form

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Apply below and become a part of the Somerset County Democratic Committee Black Caucus Today!

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Membership Type *

Regular ($25)

Student ($10)

Membership Status *

New

Renewal

Send Check Payable to "SCDCBC" to the Address Below:

For questions, see our contact information below:

Select Committee(s) You Are Interested in Joining:

Committee Interest

Communications Committee

Crisis Response Committee

Economic Development Committee

Fund Raising Committee

GOTV/Political Action Committee (PAC)

Youth Development Committee

Black History Month Committee

Submit

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