LD23 Democrats Precinct Committeeperson (PC) Application

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Thanks for your interest in becoming a PC. In order to become a PC in LD23, please fill out the form to get involved.

Requirements to become a PC:

Must reside and be registered as a Democrat in Legislative District 23

After this form is submitted, the LD23 Chair will submit your information to the appropriate county party chair, who will then submit your application to the County Board of Supervisors (BoS) for approval. This process can take 6-8 weeks. Once approved by the BoS, you will be mailed your PC certificate.

Email *

Record my email address with my response

Voter ID

Precinct Name

County *

Last Name *

First Name *

Middle *

Voting Address (residence) *

City *

Zip *

Phone *

Email *

Mailing Address, City, Zip (if different)

It is imperative that we be able to contact you via email. Do we have your permission to email you with updates? *

Yes

A copy of your responses will be emailed to .

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