To become a member of the DC Latino Caucus PAC please complete form below and hit submit.  Membership donation is $20.00.  You can make contribution on-line now or when you attend meeting.     

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

A copy of our report is filed with the DC Office of Campaign Finance, Rosa Rivas, Treasurer. Not authorized by any candidate or candidate Committee. Contributions are not tax deductible. No cash donations of $25.00 or greater accepted.