High Desert Progressive Democrats Membership Application
To become a member, please complete this form and then pay your dues by clicking here or mail a check to High Desert Progressive Democrats to PO Box 1985, Victorville, CA 92393. Membership is effective 60 days after receipt of dues or at the next regularly scheduled meeting. Hardship waivers are available to those who need them. If you would like to submit a request for a hardship waiver, please put that request in writing by emailing us at info@hdprogressivedemocrats.org. If you are unsure what districts you live in, you can use this address look-up tool.
Steps:
1. Complete Membership Application (this form)
3. Welcome to the club! 
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Registered County of Residence *
Board of Supervisors District

If you don't know who your San Bernardino Board of Supervisor is, look up your district here: https://sbcounty.maps.arcgis.com/apps/View/index.html?appid=97eabb32b34c485188edd2009a7d980f
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California Assembly District

Look up your representatives here: https://findyourrep.legislature.ca.gov/
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Senate District

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Congressional District *
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First Name (as it appears on Voter Registration) *
Middle Name or Initial, if any (as it appears on Voter Registration)
Last Name (as it appears on Voter Registration)
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Known By Name (if different from Voter Registration)
Registered Address *
City *
State *
Zip Code *
Phone Number(s) (999-999-9999 format please)
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Email Address *
Birthdate - Month and Day (XX/XX)
Gender *
Preferred Pronouns
Comments (if any)
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