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Tuesday, May 21, 2013
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Registration
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This Affiliate Group Individual Registration form is for members of iCaucus Affiliate Groups.  If your group is not an Affiliate Group yet, please contact affiliategroups@icaucus.org.

After completing this form, you wil receive a confirmation email at the email address submitted in the form.  This is an anti-spam, double opt-in feature.  We take your privacy serious.

Once the registration process is complete, and you've received the email notice indicating that the registration process is complete, you will be able to view Candidate interviews, comment in the forums relevant to your State Political Races, and complete surveys about each Candidate in your state.

Questions about this area of activity within iCaucus should first be directed to your local patriot group leaders.  If you have questions directly for iCaucus, please visit the contact page and submit an email to the relevant Department Leaders.

Thank you for your participation in local patriot group efforts as well as the iCaucus mission to restore principled leadership to American government.

2 years for Free.
* This Field is required This Field IS visible on profile Information for: First Name : Please enter your real first name.
* This Field is required This Field IS visible on profile Information for: Last Name : Please enter your real last name.
* This Field is required This Field IS NOT visible on profile Information for: Email : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.
* This Field is required This Field IS visible on profile Information for: Username : Please enter a valid username. No spaces, at least 3 characters and contain 0-9,a-z,A-Z
* This Field is required This Field IS NOT visible on profile Information for: Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required This Field IS NOT visible on profile Information for: Verify Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
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* This Field is required This Field IS visible on profile Information for: Phone # : Optional
This Field IS visible on profile Information for: Congressional District : If you know your Congressional District, please list it here.
This Field IS visible on profile Information for: Are you active in a local political / TEA Party group? : If yes, please list the name of the group(s) associated with.
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This Field IS visible on profile Information for: Name of Affiliate Group : Please name the Affiliate Group which referred you to register with iCaucus.org as a Candidate.
This Field IS NOT visible on profile Information for: Name of referring Member : You may enter a name of the person who referred you to iCaucus to register as a Candidate.  This information is not required, but is supported.
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iCaucus is growing and has opportunities for people to get involved in the grassroots efforts to vet, support and monitor candidates running for public office. 
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Please select UP TO 3 areas of involvement that you are most interested in volunteering for.
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