SCC Self-Nomination Form
If you would like to become a member of the State Central Committee (SCC) of the Democratic Party of New Mexico, please complete this form.
Registered Name
*
From your Voter Registration card
Preferred Name
Your name as you want it to appear in public.
Email Address
*
Phone Number
*
Registered Address
*
From your Voter Registration card
Ward Number
Year of Birth
*
Please verify that you are human
*
Submit
Should be Empty: