Request for Brazos County Democratic Delegate Consideration to Texas Democratic Convention
In completing and submitting this form to the Brazos County Democratic Party “I hereby affiliate myself with the Brazos County, Texas state, and National Democratic Party, and I swear or affirm that during 2020 I will support the nominees of the Democratic Party and that I will not vote in a primary election or participate in a convention of another political party during 2020. I further affirm that I am a registered voter in Brazos County, Texas.”

If you would like to be considered as a delegate, complete this form by 8:00 a.m., March 20, 2020.

BRAZOS COUNTY DEMOCRATIC PARTY
TC Langford, Chair
brazosdems@brazosdems.org
Online County Convention 10 a.m., March 21, 2020
Pre-registration is MANDATORY
Email address *
I wish to be considered as a Delegate to the State Convention. *
Name *
Your answer
Street address *
Your answer
ZIP code *
Your answer
VUID (from voter registration card)
Your answer
Gender
Age
Your answer
Phone (10 digits NO punctuation) *
Your answer
Check any that apply (this information for purposes of demographic balancing of delegation)
Describe or list your involvement in Democratic Party activities
Your answer
If you would like to be a delegate to the State Convention, please give a statement of your reasons.
Your answer
Submit
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