Join Bayshore Progressive Democrats!

(Dues waiver form)

Name *
Name
Daytime phone *
Daytime phone
Evening phone (if different)
Evening phone (if different)
Voter registration address (if registered to vote) *
Voter registration address (if registered to vote)
If you're not registered to vote, use your primary residence.
I am registered as a Democrat at the above address *
I am signing up to join Bayshore Progressive Democrats, and request a dues waiver *
Dues will be waived at the discretion of the Co-Chairs.
If you'd like to sign up additional family members with their consent, please enter their info: name email address phone voting address and party affiliation, if registered to vote