Affiliation

Thank you for your interest in affiliating with the California Democratic Council! We welcome any new or renewed club affiliations.

Please have a file with your roster ready ahead of time in order to complete this form. Click here to download a roster template.

If you have any questions or comments, please contact me at membership@cdc-ca.org.

In service,
Anne Mohr (aka Jacqueline Stewart), Vice President of Membership

Name of Organization *

Is this a new affiliation or renewal? *

What type of organization are you? *

My organization has the following needs: *

Point of Contact Name *

Please leave either an email, phone number, or both so we can follow up with your application.

Phone

Organization Website

Skip if not applicable.

Organization Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Number of Members *

Please only include paid members, not the number on your email list. Approximations are fine.

Membership Roster *

Click here to download a roster template.
If using your own template, please indicate officers in file. Any file format is okay (.pdf, .doc, .xlsx, etc).

FEC #

If available.

FPPC #

If available.

Additional Comments

Signature *

By typing my name above, I certify all information submitted in this form is true and correct to the best of my knowledge.