Calhoun County Texas Democratic Club Membership Form

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This is a form for those who belong to the Calhoun County Texas Democratic Club email list. This is to update information and to separate out those who are on the email list and those who are members of the club.

All members owe dues, some for several years. Contact the club for information on how much you owe and how to pay it. We now have a way to pay the dues online through our ActBlue account: https://secure.actblue.com/donate/calhouncountytxdemsmembership

For any questions, please contact CalhounCoTexasDems@gmail.com

Email *

Full Name *

Preferred Phone Number *

Is the preferred phone a cell phone & can we send you text messages?

Yes it is a cell phone and you can send me text messages.

Yes it is a cell phone and you CANNOT send me text messages.

Not it is not a cell phone.

Other:

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Preferred Email Address *

Physical Address *

Mailing Address *

Preferred Gender Pronouns

She/Her/Hers

He/Him/His

They/Them/Their

Prefer Not To Say

Other:

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Birthdate

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Age

18-36

37-50

50-65

65+

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Job Profession

Anything else we should know?

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