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The Five Towns Democratic Club wants to meet you!

Are you interested in learning about
Democratic politics in the Five Towns?

Do you want to help elect Democrats up and down the ballot?

Please fill out the survey below and let's get started.

* Indicates required field

Name *

First

Last

Email *

How did you hear about the Five Towns Democratic Club? *

Friend or neighbor Five Towns club email Internet search The Five Towns Herald The Club Facebook page Nassau County Democratic Committee Other

If Other please specify: *

How old are you? *

Less than 16 16-18 19-25 26-45 46-65 Over 65 Prefer not to say

What kind of political work have you done before? *

Made phone calls Knocked on doors Gathered petition signatures Was once a club member somewhere Regularly give money to Democrats Prefer not to say I am new to this

Submit Your Responses

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HOME
WHO WE ARE
ELECTED OFFICIALS
Election Resources
PAST EVENTS
JOIN THE CLUB
CONTACT