Assembly Democrats Candidate Registration Form

To register as an ADEMs candidate, you must qualify as a registered Democrat on or before November 3, 2020 in the AD you wish to run in and pay a candidate fee of $30.00. Please enter your name, address, and birthdate, exactly how you registered to vote, so we can verify your voter status and then process your credit card payment.
Note: If you have a mailing address listed on your voter registration record that is different from the address you are registered at then we will automatically mail your ballot to the mailing address listed. We cannot change your voting record to reflect another mailing address outside of your voting record.
To request your ballot be mailed to a mailing address that is not listed on your voting record you must email, listing the new mailing address. Staff will notify you that they have updated your application with the new mailing address. Your request must include your new mailing address, your completed application email receipt, your full name, and assembly district as you are running/voting in.
Self Identifying Female
Other Than Self Identifying Female
I'm planning on being a candidate for the executive board.
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