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2010 Membership
Application
Regular Membership
$35 / Associate Membership $20
Check One: New
Member ___ Renewal ___ Associate ___ Transfer ___
Name
__________________________________________________________________
Mailing Address
__________________________________________________________
E-mail address
___________________________________________________________
Home Phone ____________
Business Phone ____________ Cell Phone ____________
Employer
_______________________________________________________________
Occupation
______________________________________________________________
Are you registered to vote as a Republican? (Please
circle) Yes / No
Voting Precinct
___________ Congressional District
___________
Please indicate any
committees on which you would like to serve:
Bylaws
_____
Membership _____
Campaign
_____
Newsletter _____
Awards _____
Telephone _____
Fundraising
_____ Public
Relations _____
Education
_____
History _____
Hospitality
_____ Special
Events _____
Legislation
_____
Other _____
Why do you want to join the
GGRWC?
How can the GGRWC assist
you with your understanding of the Republican platform?
Renewing member: do you
have any suggestions for improving our club, increasing
membership or working more
effectively for the Republican Party and our candidates?
Please return completed
form with your check made payable to GGRWC to:
-
Sue Starr,
Treasurer
-
5506 Rockingham Road
-
Greensboro, NC 27407
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