Democratic Legislative Campaign Committee

REGISTRATION

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Please enter the following membership information:

USER INFORMATION		CAMPAIGN INFORMATION
FIRST NAME* LAST NAME* SUFFIX EMAIL* USERNAME* PASSWORD* CONFIRM PASSWORD*		CAMPAIGN NAME* CAMPAIGN ADDRESS 1* CAMPAIGN ADDRESS 2* CAMPAIGN CITY* CAMPAIGN STATE* CAMPAIGN ZIP*
CONTACT INFORMATION
DISTRICT TITLE DIRECTOR DATIME PHONE* EVENING PHONE OTHER PHONE Would you like to receive the public polling reports? Yes No



	Become a Member today, and take advantage of the services we offer, such as: Mail Templates Professionally designed mail pieces in printer ready files TV Commercials High quality templates of spots used in legislative races Polling District-specific polling numbers to give you the winning edge Training Materials Professional services for candidates and campaign staff