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
We are a community that cherishes...

*Our God given right to life, liberty, and the pursuit of happiness

*Our freedom and the knowledge that it cannot be stolen by anyone, including those in the government

*Fiscal accountability and individual responsibility for actions

*A free enterprise system where opportunities abound

*A school system reflective of parental rights

*Peace preserved by a strong military arm

*Faith of our forefathers who fought for the nation, the state, and their community

Welcome to Virginia Beach Republican Women's Club - Right since 1959
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Date*

MonthDay Year
Date
My Products
prevnext( X )
Membership Dues$50 + $2 processing fee
$52.00

Associate Membership Dues$25 + $2 processing fee
$27.00

Total

$0.00

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