| Please Join Us!
Membership
| Date:
_________________________________________________ |
| Name:
________________________________________________ |
| Spouse:
_______________________________________________ |
| Address:
______________________________________________ |
| Zip + Four:
_____________________________________________ |
Phone:
Home:_______________________________________________
Work:
_______________________________________________ |
| E-mail:
________________________________________________ |
| Fax:
__________________________________________________ |
Birthday:
Month:
______________________________________________
Day:
________________________________________________ |
| Membership type:
_______________________________________ |
REGULAR MEMBERSHIP ~ $25
Republican female, Arizona registered voter, not a member of any other
Federated Republican Women's Club; includes full voting rights.
ASSOCIATE MEMBERSHIP ~ $10
May be a member of another Federated Republican Women's Club; no club
voting rights.
AUXILIARY MEMBERSHIP ~ $10
Republican male, shall not hold office or vote.
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Please complete this form and
<%End If%>bring it to the luncheon/meeting |