North Texas Asian Democrats: Membership Form

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Email *

First Name *

Phone Number *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Nationality (optional):

Areas of Interest (mark all the apply)

Activism

Community Service

Fundraising

Voter Registration

Events / Tabling

Phone Banking

Research

Technology and Communications

Membership Plan (Membership runs from January 1st to December 31st each year.) *

Regular $20

Student $10

Required

How did you hear about us? *

Friend

Social Media

Search Engine

Newspaper

Others

Required

Occupation *

Employer *

We would like to know what specific types of activities you would like the North Texas Asian Democrats to be involved with. This input can greatly help us shape it to fit the needs of our community. Please also let us know of any other organizations with which you are affiliated, any language skills you may have. *

Feedback, if any.

Send me a copy of my responses.

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This form was created inside of North Texas Asian Democrats.