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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Date Today

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Membership End Date

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Membership Type (Clean)

Your Information

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First Name*

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Last Name*

Name*

First Last

Email*

Phone*

Street Address*

City*

State*

Zip Code*

Membership Type*

Marital Status*

Young Democrat Memberships

Young Democrat memberships are available to registered voters in Virginia, ages 18-35, and are provided at no cost depending on funds available. By submitting this form, you are requesting that your membership dues be paid using funds available for this purpose. You will be notified if your request is approved.

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?

Additional Contribution

Other Amount*

Total and Payment

Total

Payment Method