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APPLY FOR AT-LARGE MEMBERSHIP TO THE TEXAS STONEWALL DEMOCRATS

First Name

Last Name

Phone

Pronouns

Street Address

City

Region/State/Province

Postal / Zip code

Issues that matter to me:

Climate Action

Education

Equality

Family

Faith

Gun Violence

Health

Minority Issues

Workers Rights

Public Policy

Trans Policies

Womens Isues

I am: * Required

LBGTQ+

Straight Ally

Prefer Not to Say

Please Send Me:

Candidate Information

Volunteer Opportunites

Legislative Updates

I would like to help:

Text Voters

Knock On Doors

Host An Event

Is this a new memebership or a renewal? *

New Memebership

Renewal

I swear that I have not voted in a primary election or participated in a convention of another party during this voting year. I hereby affiliate myself with the Democratic Party. *

Affirm

Deny

I swear or affirm that the information provided is true and accurate to the best of my knowledge, and agree that my full typed name serves as my signature and acknowledgement of the fact. (First and Last Name)

Step 1: Fill out this form and hit submit.

Step 2: You will be taken to the ActBlue page to submit your payment.

If you have any questions or concerns please email info@texasstonewalldemocrats.com.

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Texas Stonewall Democrats is the LGBTQ+ Caucus of the Texas Democratic Party. We work to elect PRO-LGBTQ+ Democrats and Allies. Join one of our local chapters today!

Paid For By Texas Stonewall Democratic Caucus, Michael Apodaca, Treasurer.

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