VAN Account Request - Texas Democratic Party
PLEASE NOTE: If you are interested in VAN as a PRECINCT CHAIR, ACTIVIST, or VOLUNTEER, please contact your county party to get a VAN account. Their contact info can be found at: www.txdemocrats.org/party/counties
Email address *
Personal Email of Candidate, if same as above, type twice (It helps out the Data Team months or years from now if we need to contact the candidate. Sometimes their staff/consultants/campaign emails are no longer associated with the candidate or work.) *
Your answer
Applicant Type *
Legal First Name *
Your answer
Legal Middle Name
Your answer
Legal Last Name *
Your answer
Candidate's Date of Birth *
MM
/
DD
/
YYYY
Candidate's Full Address (where they are registered to voter) *
Your answer
Full Name that would appear on ballot/campaign material/that you like to be called *
Your answer
Full Name of person filling out this form (if different from name above, put email in Email 2 and number in Phone Number 2) *
Your answer
Email *
Your answer
Email 2
Your answer
Phone Number *
Your answer
Phone Number 2
Your answer
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