MIGS FORM Inland Mendocino Democratic Club Membership Information Form Application Form for Membership through 8/31. Fields marked with * are required NEW RENEW Date FirstName * Enter first name as registered Last Name (Family Name)* Enter last name on voter registration Email * We send email to inform you of interesting and important events. OK TO EMAIL ME Phone Number [123-456-7890] We call our active members to to inform you of events, actions, meetings and volunteer opportunities. OK TO SEND ME VOICE MAIL OK TO TEXT (SMS) ME We send text messages to alert you of important events and dates. You agree to receive automated Transactional messages. Terms and Privacy Policy can be found at https://inlandmendodems.org/WP/document/sms-terms-and-privacy-policy/ .You may receive up to 5 msgs/mo. Text and data rates may apply. Reply STOP to end or HELP for help. /*******************************************************/ Physical Address - No PO BOX Street * Address on your voter registration City* Enter last name on voter registration Select a State * --Select a State-- Alabama (AL) Alaska (AK) Arizona (AZ) Arkansas (AR) California (CA) Colorado (CO) Connecticut (CT) Delaware (DE) Florida (FL) Georgia (GA) Hawaii (HI) Idaho (ID) Illinois (IL) Indiana (IN) Iowa (IA) Kansas (KS) Kentucky (KY) Louisiana (LA) Maine (ME) Maryland (MD) Massachusetts (MA) Michigan (MI) Minnesota (MN) Mississippi (MS) Missouri (MO) Montana (MT) Nebraska (NE) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM) New York (NY) North Carolina (NC) North Dakota (ND) Ohio (OH) Oklahoma (OK) Oregon (OR) Pennsylvania (PA) Rhode Island (RI) South Carolina (SC) South Dakota (SD) Tennessee (TN) Texas (TX) Utah (UT) Vermont (VT) Virginia (VA) Washington (WA) West Virginia (WV) Wisconsin (WI) Wyoming (WY) ZIP * We send email to inform you of interesting and important events. Occupation> Campaign finance law requires us to collect your occupation and employer. Occupation * Are you currently employed? Enter RETIRED if you are retired. Last Name (Family Name)* Enter last name on voter registration Join IMDC Posted in .