Membership


[contact-form to=’membership@mlkjrdemclub.com’ subject=’MLK Club Member Form’][contact-field label=’First Name’ type=’text’ required=’1’/][contact-field label=’Last Name’ type=’text’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Address’ type=’text’/][contact-field label=’City’ type=’text’/][contact-field label=’State’ type=’text’/][contact-field label=’Are you a registered Democrat?’ type=’checkbox-multiple’ required=’1′ options=’Yes,No’/][contact-field label=’What are you interested in?’ type=’checkbox-multiple’ required=’1′ options=’Volunteering,Board,Other’/][contact-field label=’Comment’ type=’textarea’/][/contact-form]