Golden Corridor Republican Women

2008 Membership Application

Contact information:
Last name:	* required
First name:	* required
Spouse:
* Precinct Number:	* required
Mailing Address        Yearbook Address (if different)     Home Phone Business Phone Cell Phone
E-mail Address Occupation	* required
Membership Status (check one):
	ACTIVE $25 - Woman who is not a member of another Republican Woman's Club ASSOCIATE $25 - Woman who is a member of another Republican Women's Club Name of Primary Local Club: ASSOCIATE $15 - Man (does not have to be a husband of a member)
I want to help GCRW in the following ways:
	campaigning recruiting members entering data editing or writing for the newsletter
	greeting phoning fundraising mailing word processing researching issues other
I have served the Republican Party as:
	Key position in a Republican campaign Volunteer in any Republican campaign Volunteer in voter ID/Get Out the Vote Attendee at my last Precinct Convention Poll Watcher for a Republican Candidate Precinct Chair Election Alternate Judge Senatorial Convention Delegate or alternate State Convention Delegate or alternate National Convention Delegate or alternate Volunteer in other organizations: Office(s) held:
I was invited by Friend or family who might be interested in becoming a member of GCRW (name & address)
"Our goal is to help you get involved in campaign activities while supplying you with vital information.  We encourage you to volunteer a minimum of seven (7) hours per year for Republican candidates." *Your precinct number is on your voter registration card or you may call your county election office: Collin County 972.424.1460 x1900, Dallas County 214.819.6300, Denton County 972.434.8832

Active Membership Fee ($25.00 + $2.00 convenience charge)

Associate Membership Fee ($25.00 + $2.00 convenience charge)

Male Associate Membership Fee ($15.00 + $2.00 convenience charge)