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DPNM Rural Caucus Sign Up Form
Want to become a member of the DPNM Rural Caucus? Sign up here. The DPNM Rural Caucus is geared towards rural areas of the State of New Mexico. Those signing up from within the city limits of Albuquerque, Rio Rancho, Santa Fe & Las Cruces may sign up as non-voting members.
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Email
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Your email
First Name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
Physical/Mailing Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Are you a registered Democrat in New Mexico?
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Choose
Yes
No
Voting Member?
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Choose
Yes: Physical address within a rural area of the state of New Mexico
No: Physical address within the city limits of Albuquerque, Rio Rancho, Santa Fe or Las Cruces
A copy of your responses will be emailed to the address you provided.
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