Become a PDA Chapter

Please complete this form and submit. Be sure to read Starting a New Chapter for qualifications and responsibilities. You'll be hearing from us soon!

Name of Organizing Chapter:

Your Email Address:

Name and contact information of Chapter leadership:

Name	Phone	Email
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Geographic and/or interest area represented by the Chapter (e.g., Miami, Florida or Election Reform):

How many members are now in your Chapter?

Synopsis of the current level of development of the Chapter:

What is the legal structure of your Chapter:

What do you need most from PDA to support the development of your Chapter?

If you have a web page, please give the address:

What contact information would you like listed for your Organizing Chapter (contact name, phone, web address, and/or email)? (Please be sure the information is entered accurately.)

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