Georgia Caucus Member: Electors for District-Level Delegates
For submission between 9am, April 13 and 8pm, May 8 for District-Level Elections on May 23, 2020. Please complete this form to be credentialed to vote in the District-Level Delegate Elections. After Registration closes on Friday, May 8, your email address and phone number will be provided to qualified candidates for Delegate in your District so they can contact you for your vote. On Saturday, May 23, you will be emailed a Ballot to complete that day to make your choices for Delegates to represent you at the Democratic National Convention. If you have questions, please contact justin@georgiademocrat.org
Complete Name *
Your answer
Congressional District where you live and are registered to vote: *
Complete home Street Address, City, ZIP *
Your answer
Home Phone *
Your answer
Mobile Phone *
Your answer
Email address *
Your answer
By declaring your preferred presidential candidate, you are agreeing to vote in the election of delegates to support that particular candidate and only that candidate. PREFERRED PRESIDENTIAL CANDIDATE: *
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Type your INITIALS here to signify and proclaim that the following statement is true: I believe in the goals of the Democratic Party of Georgia. *
Your answer
Type your INITIALS here to signify and proclaim that the following statement is true: I am not a member of any other political party or body as defined in the Georgia Election Code. *
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Please TYPE YOUR NAME and DATE here as signature to this form. *
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