Goochland Democratic Committee (GDC) Membership Application (2017-2019)
Thank you for your interest in becoming a GDC member!

Every two years, local Democratic committees in Virginia reorganize in accordance with the Democratic Party of Virginia reorganization plan. This includes committee members re-applying for new membership and electing new leadership.

The GDC's reorganization meeting is January 20, 2018. This form is our online membership application. If you wish to fill out a paper application, please visit here: www.goochlanddemocrats.org and scroll down to the bottom of our homepage.

Any questions? Email GDCvirginia@gmail.com.

I, the undersigned, declare my participation in the Goochland County Democratic Committee. By completing this form, I certify that: *
Required
About You
Last Name *
Please provide your last name as it appears on your voter registration.
Your answer
First Name *
Please provide your first name as it appears on your voter registration.
Your answer
Preferred Name
(optional) If you use a first name that is different than the above.
Your answer
Address *
Please provide the address where you are registered to vote.
Your answer
Home Phone *
Your answer
Email
Your answer
Best method to contact: *
Voting Precincts in Goochland County
I vote at the following precinct:
Get Involved
Our committee is driven by its members. To elect Democratic candidates with Democratic values, we need your help.
I would like to help with:
Your Signature
By subscribing to the above conditions and providing my signature below, I hereby file to become a member of the Goochland Democratic Committee: *
Digital Signature *
To verify your application, please type your full name.
Your answer
Date of Signing *
MM
/
DD
/
YYYY
Next Steps
Upon submission, your application will be filed with a GDC officer to be presented at the next GDC meeting for approval.
Membership Donation
Our suggested donation is $20. You can donate online at our ActBlue link. You may also mail a check payable to the Goochland Democratic Committee to P.O. Box 125, Goochland, VA 23063.

NOTE: Donations are optional and are not required for committee membership.

ActBlue link: https://secure.actblue.com/donate/goochland
If link does not work, you can cut and paste the URL or just go to the website and click the button on our Homepage.

Authorized by the Goochland Democratic Committee
CONTACT US:
GDCvirginia@gmail.com

VISIT OUR WEBSITE:
goochlanddemocrats.org

CONNECT WITH US:
facebook: Goochland Democratic Committee
twitter: @goochlandvadems

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