Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Spouse/Partner Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

If Dual Membership

Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }



Phone texts and/or E-Mail will be used for meeting notifications and rapid response requests required by Federal Law.

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
DUES: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Mail check to:

Tri Counties Democratic Club. 1142 S. Diamond Bar Blvd. #845, Diamond Bar, CA 91765.

Or click to Pay dues through ActBlue site.

Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Spouse/Partner Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }



Phone texts and/or E-Mail will be used for meeting notifications and rapid response requests required by Federal Law.

Cell Phone Number: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Best E-Mail: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Occupation(s): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
DUES: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
ACTIVE MEMBER(S) AS OF: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Mail check to:

Tri Counties Democratic Club. 1142 S. Diamond Bar Blvd. #845, Diamond Bar, CA 91765.

Or click to Pay dues through ActBlue site.

Cognito Forms{{ Cognito.resources["powered-by-cognito"] }}