If you are interested in being involved with Citrus Pac or College Democrats, please fill out the following information. We will then add you to our mailing list, and contact you with volunteer opportunities. Thank you from all of us at Citrus Pac!

Name:

*Email:

Class:

Freshman: Sophmore Junior Senior

Campus phone: Cell phone:

Dorm: Room #:
Or
Local Address:

Home State:

Registered to vote: New York Home Not registered