2017 Fifth Congressional District Committee Membership Filing Form

Download a blank fillable 2017 Fifth Congressional District Committee Membership Filing Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete 2017 Fifth Congressional District Committee Membership Filing Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

2017 FIFTH CONGRESSIONAL DISTRICT COMMITTEE
MEMBERSHIP FILING FORM
Use this form to file to be a candidate for membership of the Fifth Congressional District
Democratic Committee and the State Central Committee
I, the undersigned, hereby state that I: wish to be a candidate for election as a Fifth District Member of the
Virginia Democratic Party State Central Committee; am a Democrat, am a registered voter in the precinct, city,
or county listed below, that I believe in the principles of the Democratic Party, and I do not intend to support
any candidate who is opposed to a Democratic nominee in the next ensuing election.
NAME
ADDRESS
CITY
ZIP
MAILING ADDRESS (if different)
PHONE (Preferred)
PHONE (Other)
EMAIL
CONGRESSIONAL DISTRICT - 5th
COUNTY OR CITY
PRECINCT/WARD
Signature
Date
In addition to this declaration, please attach a paragraph that provides a brief personal
biography of relevant experience and describes why you want to serve on the 5
th
Congressional District Democratic Committee.
Return by Email (preferred):
By Mail:
Suzanne Long, 5
CDDC Chair
th
PO Box 66
Leon, VA 22725
Updated August 15, 2017
Authorized and paid for by the Fifth Congressional District Democratic Committee

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go