2018 Democratic Campaign Institute Registration Fee Reduction Request
Please submit your fee reduction request here. A representative from the MDP will respond to you directly.
Email address *
First Name *
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Last Name
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Street Address *
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City/Town *
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ZIP *
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Phone *
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Paying the full $75.00 fee for the DCI would present financial hardship. I am able to contribute the following amount:
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My family size is *
Includes adults and dependent children
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My family income is per year *
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I am a student at
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Other circumstances to be taken into consideration:
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I certify that the statements above are true and accurate to the best of my knowledge. *
e-Signature below
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Date: *
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