Name Washington State Progressive Caucus Dues Waiver form We respect your privacy. Your information will not be shared except with relevant members of the Progressive Caucus E-Board. First Name * Last Name * Email Address * Congressional District (CD) * Legislative District (LD) * Mailing Address * City * State * Zip Code * Reason for Request Waiver Type * Full Waiver Partial Waiver Partial Waiver Amount If Partial Waiver is selected, please indicate a dollar amount less than $20