CADEM Rural Caucus - Membership Form
Please complete this form if you are joining the CADEM Rural Caucus via fee waiver or in person at a CADEM event. 

Otherwise, please join using the dues link here: https://onlinecampaigntools.com/WebForms/ViewForm?key=v3OgtUdQThjhzNZ%2FYfwUPw%3D%3D#%5Bpage=1%5D
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Are you a registered Democrat? *
What is your name? *
Street Address (where you're registered to vote) *
City *
State
Zip *
County *
Email Address *
Phone Number
Are you requesting a waiver of Caucus membership fees due to a personal hardship? *
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