Declaration of Candidacy for Membership on the Albemarle Democratic Committee
This form should be filled it by those wishing to join the Albemarle Democratic Committee. For more information on the process, visit www.albemarledems.org/reorganization
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Email *
Name *
Residential Street Address *
Residential City *
Residential Zip Code *
Preferred Phone number *
Preferred Email *
I am registered to vote in Albemarle County *
Please list your voting precinct. *
All who complete this form are seeking to be a member of the Albemarle Democratic Committee. If you wish to seek an leadership role, please select it below. (Not required)
Declaration
By entering my digital signature below, I declare myself to be a candidate for membership on the Albemarle Democratic Committee, and for the position selected above. I also declare that I believe in the principles of the Democratic Party and that I will not support any candidate opposed to any Democratic nominee as long as I am a member of the Committee.
Digital Signature - please type name affirming the declaration above. *
A copy of your responses will be emailed to the address you provided.
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