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Membership

As a member of LGBT Democrats of Virginia, you're a member of the official LGBT Caucus of the Democratic Party of Virginia.

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Your Information
First Name*
Last Name*
Email*
Phone*
Street Address*
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State*
Zip Code*
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Your Partner's Information
Note: Your partner's email address must be different from your email address in order for them be added as a member.
Partner First Name*
Partner Last Name*
Partner Email*
Partner Phone*
Employment Information
Campaign finance laws require the collection and reporting of employment information for all persons making a campaign contribution. If not employed, please type "Not Employed" in the fields below.
Occupation*
Employer*
Employer City, State*
For example, "Virginia Beach, VA."
Additional Contribution
Would you like to make an additional contribution to help LGBT Democrats of Virginia elect pro-quality Democrats throughout the Commonwealth?
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