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HANOVER DEMOCRATIC COMMITTEE MEMBERSHIP FORM

Thank you for your interest in becoming a member of the Hanover Democratic Committee of Virginia. Below, you will find our online membership form. If you prefer to mail in your application, please download and print the application >HERE<

I, the undersigned, do hereby declare my participation in the Hanover County Democratic Committee. By signing this document, I certify that:

  • I am registered to vote in Hanover County,
  • I do not intend to support any candidate who is opposed to a Democratic nominee in the next general election,
  • I am a Democrat, and
  • I believe in the principles of the Democratic Party.
NAME:
ADDRESS:
TOWN:
STATE:
ZIP:
HOME PHONE:
WORK PHONE:
EMAIL ADDRESS:
CONGRESSIONAL DISTRICT:
MAGISTERIAL DISTRICT:
PRECINCT:
MEMBERSHIP FEE PAYMENT METHOD: ONLINE (Pay on next page)
BY MAIL (Address on next page)
By subscribing to the conditions listed above, I am also hereby filing to be a member of the Hanover County Democratic Committee. YES
NO
SIGNATURE:
DATE:

Enter Amount:

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