JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2018 Convention Fee Waiver Application
Please fill out the form below to be considered for a fee waiver to the 2018 Democratic State Convention. If you have any questions please call us at 617-939-0800 or email
convention@massdems.org
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City/Town
*
Your answer
Ward (if applicable)
Your answer
Phone number
*
Your answer
Paying the full fee to the 2018 Democratic Party Convention would be a financial hardship. I am requesting:
*
Full Waiver
Partial Waiver
If Partial, please specify the amount you can pay:
Your answer
My family size is:
*
Your answer
My annual family income is:
*
Your answer
I am a student at:
Your answer
Other circumstances to be taken into consideration:
Your answer
I certify that I have been elected as a delegate (or alternate) or have been accepted as an add-on delegate to the 2018 Convention.
*
Yes
I certify that the statements above are true and accurate to the best of my knowledge.
*
Yes
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Massachusetts Democratic Party.
Report Abuse
Forms
