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Southwest Democrats 2024 Membership Application
Please complete this application for membership to the Southwest Democrats political club. If you are purchasing a family/household membership, please complete this form for each person applying for membership. If you have any questions please email
info@southwestdemocrats.org
Once you have completed this form, please be sure to pay the membership dues here. Your membership will not be active until dues have been paid:
https://secure.actblue.com/donate/southwestdemocrats
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Full Name
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Residence Address (include city, state, ZIP)
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Mailing Address (if different, please include city, state, and ZIP)
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Phone Number
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Email Address (if different from the first question)
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Occupation (required by Texas Ethics Commission)
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Employer (required by Texas Ethics Commission)
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