Scott County Democratic Party - Request for Info
To find more information out about the Scott County Democratic Party, please complete this form and include your preferred contact number and email address, and a party member will reach out to you.
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How do you prefer to be contacted? *
First and Last Name *
E-mail Address *
Cell Phone
Home Phone
Full Address on Voter Registration
County Commission district (if unknown please leave blank)
Please provide any ideas you have for upcoming democratic actions/events: (Optional)
Your answer

Are you willing to serve as an officer or lead volunteer? What skills can you contribute? (Optional)
Additional Comments (Optional)
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