Membership Form 2026-2027

MEMBERSHIP FORM

2026-2027

Membership Dues: $30.00

Financial Donations are accepted, too.

Welcome to "The 23rd SENATORIAL DISTRICT TEJANO DEMOCRATS"

Deep In The Heart of Texas!

First, please complete the Membership Application below, complete all the required fields of information, especially your name, as it is on your Voter Registration Certificate. The Voter Registration I.D. must be correct so as to match with the voter database: Please ensure you have provided the information from your voter certificate.

Second, pay the Membership Dues with either: Zelle, Cash APP, PayPal or a physical check or money order or cashier's check payment form. The PO Box address is below to mail your physical check or money order.

Third, onnce filling out the Membership Application, Review the Membership application, Print it if you wish, and Click on the Submit button at the very bottom.

Select Your Membership Status

Today's Date

Date

Name (First, Middle, Last)

Home Address

Home City/State/Zip Code

Justices or Judges, if you want to keep your home address "private", please initial.

Mailing Address

Mailing City/State/Zip Code

Justices or Judges, if you want to keep your mailing address "private", please initial.

Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Home Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Work Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

E mail

example@example.com

Your Voter Registration Number (VUID)

Date of Birth *Required if you do not have or know your Voter Registration Number below (VUID).

Date

Texas State Senatorial District Number

Precinct #

County of

Texas Ethics Commission (TEC) Required: Your Occupation

Texas Ethics Commission (TEC) Required: Your Employer, if self-employed, name of your company

Signature: (required)

Membership Dues are non-refundable.

$15.00 State Regular Membership Dues: (August 1, 2026 - July 31, 2027)
$15.00 Local Chapter Membership Dues: (August 1, 2026 - July 31, 2027)
Total Due: $30.00

*If you would like to make a financial donation also, The 23rd Senatorial District Tejano Democrats welcomes your financial contribution donation!

FOUR PAYMENT FORMS:

1. Zelle

Add our Email, the23rdsdtd@gmail.com as Recipient to your Zelle bank or your Zelle phone standalone app account to securely send your membership dues. In the Message Field, enter Your Name and Membership Dues. If you use your Zelle phone standalone app and receive an error, then login to your bank website and send your membership dues via Zelle.

2. Cash App

Use Cash App, our code is $23rdsdtd to make payment.

3. PayPal

Send your payment via PayPal to the23rdsdtd@gmail.com. In the note section, include your full name and membership dues.

4. Mail a Physical Check

If mailing the payment by a physical check, note it may delay your membership processing time. Also, email us you are mailing a physical check at the23rdsdtd@gmail.com this way we will look out for your check in the mail. Make your check payable to: The 23rd Senatorial District Tejano Democrats.

The 23rd Senatorial District Tejano Democrats

c/o Eric Mata, Treasurer

PO Box 225054

Dallas, TX 75222-5054

My Products

2026-2027 Membership

$30.00

$30.00 Quantity
Item subtotal:

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Payment Methods

Credit Card

Cash App Pay