2022 Membership Application

Name *

First Name Last Name

Email *

example@example.com

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

Area Code Phone Number

Birthday (month/day) *

Membership *

Full Member $ 52.00

Registered Republican women who are U.S. Citizens. Includes $1.00 processing fee.

Gold Member $ 103.00

Registered Republican women who are U.S. Citizens. Gold Membership furthers supports CRWF goals and programs. Gold Members receive a Gold Magnetic Name Badge. Includes $3.00 processing fee.

Platinum Member $ 257.00

Registered Republican women who are U.S. Citizens. Platinum Membership further supports CRWF goals and programs. Platinum Membership also includes a Spouse Membership at no extra charge. Platinum Members receive a Platinum Magnetic Name Badge. Includes $7.00 processing fee.

Vested Member $ 33.00

Renewing members with 20+ continuous years of membership in CRWF. Includes $1.00 processing fee.

Associate Member $ 26.00

Registered Republican men AND registered Republican women who are members of other RWF clubs. Associates are non-voting members. Includes $1.00 processing fee.

Spouse of Member $ 10.00

Spouses of CRWF FULL and GOLD members.

Donation $ 25.00

In addition to your membership fee, we appreciate additional donations to CRWF to further our programs and activities. For each increase in the quantity box, you will be adding another $25 to your donation. For example, "1" would be $25, "2" would be $50, etc. Thank You

Quantity

Total $ 0.00

Credit Card

Spouse Name

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