IDA Membership Submission Form

IDA Membership Submission Form

Welcome to the Democratic Alliance! Thank you for the interest shown, in joining our Political Movement, as we bond to implement meaningful change towards "Building A Better Future For All"
Please enter information that accurate and up-to-date to ensure a smooth review process.
Name*

First NameLast Name
Date of Birth

MonthDayYear
Please use the format above or select the date on the calendar.
Please select your gender
Email
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Residential Address*

Street Address

Street Address

CityState / Province

Postal / Zip Code
Use Residential AddressEnter a New Address
Postal Address

Street Address

Street Address Line 2

City/StateState / Province

Postal / Zip Code
Help us get to know you better. Please answer the following questions.
SingleIn a RelationshipMarriedDivorcedWidowed
Please indicate your skillset? Examples: sewing, cooking, plumbing, computer, social media, or any area of talent
Please enter the religion you practice.
Please select the THA Electoral District where you vote or reside (whichever applicable).
Please indicate available times for volunteering.
Declaration: I declare that I will abide by the terms of the party constitution as published on the party website. I consent to receiving information from IDA in relation to activities, events and other relevant in formation and for my support details being utilized to assist in advancing of the ideologies of the IDA. I hereby declare that the information provided on this form is true and correct.*

I hereby indicate my willingness to support the INNOVATIVE DEMOCRATIC ALLIANCE
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