Membership Form

Declaration of Candidacy
in the
Suffolk Democratic Committee

I, *

A resident of the precinct of

in the city of Suffolk, Virginia, declare myself to be a candidate for membership on the Suffolk Democratic Committee (SDC). I affirm that I am registered to vote in the precinct in which I reside and that I believe in the principles of the Democratic Party.

Mailing Address

Phone 1

Phone 1 Type (mobile, home, work, etc.)

Phone 2

Phone 2 Type

Email *

Method of Payment

Any notes

You should receive an email to confirm that this form was properly received.

Name

Declaration of Candidacy in the Suffolk Democratic Committee

Declaration of Candidacy
in the
Suffolk Democratic Committee