Anaheim Democrats Membership Form 2021
Please fill out this form as a participant of our Anaheim Dems Clubs.  This form will collect information from our membership to for attendance, to check if you are a registered Democrat, and have paid your member dues.

If you have any questions feel free to email: democratsofanaheim@gmail.com
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Are you registered to vote in Orange County as a Democrat? (Note: If you are not eligible to register you may still be eligible for club membership.) *
Please provide the following information as your Voter Registration.
First Name *
Middle Name
Last Name *
Street Address  (Example: 1234 Anaheim Blvd.) *
City (Example: Anahiem) *
Zip Code (Example: 92801) *
District Information
We need to confirm your Congressional district, State Senate, and State Assembly districts.

Look up State Senate and Assembly: https://www.house.gov/representatives/find-your-representative
Look up Congressional District: https://www.house.gov/representatives/find-your-representative

If you are unable to look up, please put N/A as an answer.
Congressional District (Example: CD 46) *
State Senate District (Example: SD 34) *
State Assembly District (Example: AD 69) *
General Information
For our meeting attendance and general communication please provide the following information.
Please provide preferred name might be different than your voter registration.
First Name *
Last Name *
Cell Numbers (Example: 714-714-7141) *
Is Anaheim Dems your home club? (If you are a member a various Dem Clubs you must pick one home club) *
Thank you!
We meet the 1st Saturday of every month. Our meetings are currently held via Zoom.  To receive registration information to attend our virtual meetings, please email info@anaheimdems.org.

To become a "good standing member" please submit a membership form, attend at least 2 meetings, and pay your yearly dues.

You can pay your $25 membership via PayPal (https://bit.ly/AnaheimDemsDues) or by sending a check to: PO Box 8191, Anaheim, CA 92812. Make check payable to: Anaheim Democrats.
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