Join the Brooklyn Democratic Party County Committee and represent your community, your neighborhood and your block.
Signers of this form authorize any necessary steps to effectuate candidacy, including printing of designating petitions and retention of representation in case of challenges. If unopposed, person will be elected uncontested; if opposed, person's name will appear on the Primary Election ballot in one Election District.
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First Name (of candidate) *
Last Name (of candidate) *
Suffix (exp. Sr., Jr., etc?)
Email *
Phone Number (of candidate) *
Date of Birth (of candidate) *
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DD
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YYYY
What's Your Political Party (of candidate) *
Street Address (of candidate) *
Apartment Number (of candidate) *
Borough *
Zip Code *
What is your Assembly District?
First Name (of referrer) *
Last Name (of referrer) *
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