DPNM Rural Caucus Sign Up
Use this form to sign up for membership in the DPNM Rural Caucus. The DPNM Rural Caucus is geared towards rural areas of the State of New Mexico. Those signing up from within the city limits of Albuquerque, Rio Rancho, Santa Fe & Las Cruces may sign up as non-voting members.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Please Enter Both Physical and Mailing Address
Physical Address
Mailing Address
City
State / Province
Postal / Zip Code
Member Type
Voting Member - Physical Address within Rural area of the State of New Mexico
Non-Voting Member - Physical Address within City Limits of Albuquerque, Rio Rancho, Santa Fe or Las Cruces.
Submit
Should be Empty: