LBYD New Member Registration Form

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Thank you for your interest in joining Long Beach Young Democrats. This form is required to become a new member. At the end of this form it will ask you how you will be paying. You must pay to complete your registration process. If paying through ActBlue, you can find the link here - https://secure.actblue.com/donate/lbyd?amount=20

This form is for new LBYD members only. There is a separate form for updating your information and/or renewing membership.

Email *

First and Last Name *

Address *

City & Zip Code *

Phone Number *

Date of Birth *

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Occupation

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