Westchester Jewish Democrats Membership Registration Form

Westchester Jewish Democrats
Membership Registration

Complete the form below to become a member of Westchester Jewish Democrats. Building a strong and united community is the best way to ensure that our voices are heard at all levels of government within the County and beyond.
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Read about the mission of the Westchester Jewish Democrats.
Party Affiliation and Mission Support*

I am a registered member of the Democratic Party and support the mission of the Westchester Jewish Democrats.
Founding Member - $180Standard - $36/yrYouth (under 25) $18 / yr
PLEASE NOTE:

The Federal Election Campaign Act (FECA) prohibits organizations from knowingly soliciting, accepting, or receiving contributions or donations from foreign nationals for campaign finance.

Membership Type*

Founding Member

$180

General Member

$36

Youth Member

Under 25

$18

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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Westchester Jewish Democrats