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Ohio Democrats

Fighting For Ohio Workers

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Rural Caucus Signup Form

    Please have interested members fill out a sign up form. This form will be accessible to the Coalition Director and the Caucus Chair.

    Email Address

    Name (First and Last)

    Pronouns

    Phone Number

    Address

    How do you prefer to be contacted?

    Are you a registered voter?

    Are you a registered Democrat?

    Are you a member of an Ohio Democratic-allied organization?

    If yes, what organization?

    Interests in Caucus (Check all that apply)

    How did you hear about the caucus?

    After completing the Form, you will be contacted by the caucus about upcoming meetings, events and more!