Membership Application – Central Texas Democratic Veterans

CENTRAL TEXAS DEMOCRATIC VETERANS (CTDV)

2021-2022 MEMBERSHIP APPLICATION

Date:

First Name

Last Name

Verify Email

Veteran?

Yes

Branch

Years of Service?

If not Veteran: Spouse/Partner of Which Member:

NOTE: CTDV Membership is limited to Veterans and their Spouses/Partners

Phone #:

Address

Address Line 1

County

City

State

Zip Code

State law requires that any individual giving money to a Political Action Committee (PAC) such as ours, provide the following information on Occupation and Employer.

Employer Name:

Occupation:

Upon submission of completed form, Central TX Dem Veterans will email you an invoice for our $16.00 annual (July-June) dues, which includes the $1.00 processing fee for use of Credit/Debit Card.