YRMF Membership Application

Membership Application for the Yavapai Republican Men's Forum
The Yavapai Republican Men's Forum welcomes men and women to apply for membership. Full membership is for men, Associate membership is available for women, and Student membership is available at no cost to students under the age of 22.

All members must be registered Republicans or, for students, the child of a registered Republican.

Associate and Student members are not eligible to vote or hold office in YRMF. Membership applications require approval of the Board of Directors.

Application fee is $40 and includes the first year’s membership dues. Membership runs from July 1st through June 30th and dues are $20 per year.
Name (from Voter Registration)*

First Name Last Name
Date*

MonthDay Year
Date
Home Address*

Street Address

Street Address Line 2

City State

Zip Code
Have you registered to vote within the last 90 days?*

YesNo
Home Phone*
Mobile Phone*
Email*
example@example.com
Select Membership Category*

Men's MembershipWomen's MembershipStudent Membership
How did you hear about YRMF?

YRMF MemberFriendFlyerThe Republican BriefeNewsYAVGOP
YRMF Membership Terms and Conditions

Please read the statement below and either accept or reject these terms and conditions.
I attest that the information I have provided in this application are true and correct. I agree to follow the Bylaws of the Yavapai Republican Mens Forum LLC (YRMF) and will conduct myself in a manner that is ethical, responsible and with integrity when in attendance or representing the YRMF.
Accept Terms and Conditions*

AcceptDon't Accept
Applicant,

After submitting your application, the YRMF Board of Directors will review your application. If your membership application is accepted we will send you an invoice for the application fee ($40.00). As soon as you pay the fee, you will be added to the membership roles of YRMF and receive communications on upcoming luncheons and events.
Please verify that you are human*
Should be Empty:

Membership Application for the Yavapai Republican Men's Forum