Join the Committee

Membership Application

Russell County Democratic Committee

Committee members are Democrats who are registered voters in Russell County and subscribe to the principles of the Democratic Party. They do not intend to support any candidate opposed to a Democratic nominee, and will not participate in the nominating process of any other political party.

Apply Online

Fill out the form below and draw your signature. Your application will be emailed directly to the committee.

First Name *

Last Name *

Street Address *

City *

State *

ZIP *

Email Address

Phone Number *

Phone Type

Cell Home

Preferred Contact

Text Call Email

Occupation *

Employer *

Committee Interests / Volunteer Areas

I am a registered Democrat in Russell County, Virginia. I subscribe to the principles of the Democratic Party, will not support candidates opposed to Democratic nominees, and will not participate in the nominating process of any other political party. *

Signature * - draw below using your mouse or finger

Your signature confirms you have read and agree to the party plan requirements above.

There is a voluntary $10 filing fee payable at your first committee meeting.

Fill the PDF Directly

Type directly into the official form below, then submit or download your completed application.

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Download & Print

Download the membership application, fill it out, and bring it to any committee meeting or email it to us.

Fillable PDF (type on screen) Print Version

After completing the form:

Email it to contact@russelldems.org
Or bring it to any committee meeting (The second Friday of each month at 6 PM at Lebanon Recreational Center, 45 Gibson Street, Lebanon, VA)

Questions? Contact the committee →