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2018 VAN Grant Application
Thank you for completing our short application. If you have any questions while filling this form out, please email Hannah Mullen - hannahkm@wisdems.org.
First Name *
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Last Name *
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Phone Number *
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Email Address *
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County *
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Office Sought *
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District Number (if applicable) *
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Campaign Committee Name (if applicable) *
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Campaign Committee Address *
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Campaign Treasurer *
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Campaign Treasurer's Email
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Are you currently a member of the Democratic Party of Wisconsin? *
Please email your campaign plan to SamV@wisdems.org. Make the subject line of the email "[Your Name] VAN Grant Campaign Plan". Applications without a campaign plan will be considered incomplete. *
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