RosterTester Inland Mendocino Democratic Club Membership Application Form Fields marked with * are required NEW RENEW Date First Name * Enter your first name, the same as your voter registration Last Name (Family Name)* Enter last name 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 * Occupation> Campaign finance law requires us to collect your occupation and employer. Occupation * Are you currently employed? Enter RETIRED if you are retired. Employer* Enter last name on voter registration Joining the Inland Mendocino Democratic Club is a great way to be actively involved in the Democratic Party and participate in political decisions at the local, state and national level. Your annual fee helps fund our election headquarters and events that encourage bringing the Democratic ideals to the public. Any person registered as a Democrat may apply for membership in the Inland Mendocino Democratic Club. Fill in the form below, pay your dues through the Pay Dues Here Act Blue button and then click Submit button. Annual Dues are due August 1 of each year. Single IMDC Membership - $30.00 Family IMDC Membership - $45.00 Join IMDC Posted in . Post navigation ← IMDC EXEC Minutes 12-24 TestIPN →