VIRGINIA BEACH REPUBLICAN WOMEN'S CLUB MEMBERSHIP FORM

Virginia Beach Republican Women's Club Membership Form*

New Member - Dues $50/yearReturning Member - Dues $50/yearAssociate Member - Dues $25/year - You must be a regular member of another VFRW Women's Club to qualify or a Republican man.

Payment Type*

Check - Make check payable to VBRWC and mail to - Heather Platz - 5015 Cypress Point Circle, Virginia Beach, VA 23455 or bring to the next VBRWC meeting. See VBRWC.org/meetings for RSVP details.Credit Card - Please click the link below. Includes $2 processing fee.

Name*

Address*

City*

State*

Zip Code*

Phone #*

Email Address*

example@example.com

Spouse Name

Are you a registered voter?*

YesNo

If yes, what is your voting precinct/location?

How did you hear about VBRWC?

Volunteer Interest - please check all that apply

Campaign: Volunteer for Republican CampaignsCharity: Coordinate and raise funds for club charitiesCommunication: Social media, emails, websiteElection: Poll Worker/Observer and election integrityFundraising: Organize/Work at club fundraising eventsHospitality: Meet/Greet at monthly meetings, assist with rsvp and name tagsLeadership: Serve on the Executive Committee/Board of DirectorsMembership: Recruitment, administrative, networkingScholarship: Work with area high schools, judge essay contest winners