Membership Application

You can become a member or renew your membership instantly by completing the application below.  You need to be a member to vote at endorsement meetings at least 30 days before endorsement meeting.  Annual membership fee is $20.00.  After you complete the form, please click on "Submit" to go to PayPal to pay for the membership fee.  You do not have to pay today when you register on-line, you can register on-line and pay at the meeting, when you come to the meeting.  If already a member, you can pay to renew your membership here or at endorsement meeting.  Membership is open to everyone.  Thank you for becoming a member, we look forward to seeing you at our membership meetings. 

First Name:
Last Name:
I am:	Latino/a African American White Asian/Pacific Islander Other
Sex	Male Female
Date of Birth
Occupation:
Email:
Telephone:
Cell/other
Street Address:
City
State and Zip Code
I vote in	DC MD VA Other

 

Contributions to the DC Latino Caucus are not tax-deductible.