* - Denotes required field Member Type* Regular Membership - $60Student Membership - $30Seniors (65 Years and Up) - $30 Email Address* Your first name* Your last name* Your birthdate* Your phone number* Address 1* Address 2* City* State* Zip Code* Are you a Democrat?* YesNo Your profession or occupation* Would you be interested in joining a committee?* YesNo Committee selection (multiple selections ok) Finance CommitteeCivic & Voter Engagement CommitteeCampaigns and Elected Officials CommitteeDigital CommitteePublic Relations Committee Do you have any special skills that you think would be well-suited to share with HCDBC? How did you hear about us?* Social MediaWord of MouthCurrent HCDBC MemberHillsborough County Democratic Executive Committee HCDBC Member who referred you* By checking this box and submitting this form you agree to be contacted regarding your membership request* I agree Please sign here (type your name)*