CVDC Membership Form
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Chula Vista Democratic Club Membership Form
This form will allow the Chula Vista Democratic Club and its members to maintain its charter with the San Diego County Democratic Party ( The following information is required by the Fair Political Practices Commission and the San Diego County Democratic Party.

To pay membership dues, see bottom of page.

**You will not be considered as having joined or renewed your membership until the date upon which you submit this membership form, AND paid your $20 dues (or obtained a waiver from the Executive Board), whichever is later.
First Name *
Last Name *
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Physical Address *
Phone *
Are you a registered Democrat (or if not eligible to vote, do you intend to register as a Democrat when eligible)?
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CA State Assembly District (AD) Number (Not sure? Check here:
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Is Chula Vista Democratic Club your "home" club? (If you are a member of another Democratic club in San Diego County, do you consider this your "main" club?)
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Are you paying your dues today using our online payment system?
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A copy of your responses will be emailed to the address you provided.
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