JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NCDP Congressional 7th District Convention REGISTRATION
NC Congressional 7th District Convention
Robeson Community College
5160 Fayetteville Road - Lumberton, NC
Saturday, May 20, 2023
11 am - 2 pm
Building Student Center
Contact/Text at 910-470-3715 email: ncdpcongressional7thdistrict@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
The Congressional 7th District incudes the following counties:
Bladen - Brunswick - Columbus - Cumberland (part) - New Hanover - Pender - Robeson
Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
County
*
Your answer
Precinct
*
Your answer
Are You A Delegate?
*
Yes
No
Not Sure
Required
Please list your title and office held with in the party
Your answer
Are you a candidate?
if so list the office you are running for.
Your answer
Dietary restrictions
None
Vegetarian
Other
Clear selection
If you are not a delegate. Would you like more information about the NCDP Congressional 7th District
Yes
No
Maybe
Other:
Clear selection
I understand that the code of conduct must be followed. All present will be held accountable and will treat others with respect and professionalism at the convention.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms