Indivisible Charlotte New Member Request Form
We're so glad you want to be or stay involved in Indivisible CLT! Thank you for answering the questions below so we can help connect you with events and volunteer opportunities that you're most interested in. This form should take about three minutes. You can visit our website to learn more about us: https://indivisibleclt.org/
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Email *
Last Name  *
First Name *
Cell Phone Number
 *
Please enter without dashes or parentheses - just numbers please.
Address at which you're registered to vote, line 1
 *
Apartment or Unit Number, if applicable
City
 *
State
 *
ZIP Code
 *
County *
Precinct
If you don't know the precinct at which you're registered to vote, you can find it here on the NC State Board of Elections site. 
Are you active on Facebook? *
If you're on Facebook, what is your profile name (if different than the name provided above)?
We'll use this info to match you up and grant access to our private Facebook group, if requested here: https://www.facebook.com/groups/indivisibleclt.
Are you registered with a political party? *
What race do you identify as?  *
What ethnicity do you identify as?  *
What gender do you identify as? *
What decade were you born in? *
Have you been to an Indivisible CLT event or volunteer opportunity before?
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Dues & Donations
We request dues of $20 per year, but they are voluntary. You can pay here now through ActBlue: https://tinyurl.com/supportICLT. Tell us below when you recently paid or intend to pay.
Which volunteer activities are you willing to participate in?
Select all that apply.
What issues are you most passionate about?
Anything else you think we should know?
Feel free to let us know if you have special skills you'd like to lend!
How did you hear about Indivisible Charlotte?
A copy of your responses will be emailed to the address you provided.
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