CPOC Membership
Please fill out this membership form completely so we can process your application.
Name 1
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First Name
Last Name
Email
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Birthday
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Day
Year
Name 2 (fill if couple's membership)
First Name
Last Name
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Day
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Email
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How did you hear about CPOC?
I am a registered voter who is registered as a:
I agree to uphold the values and principles of our country's founding documents and I believe that our Constitution should be revered and upheld. I believe that individual liberty should be cherished and maximized. I also believe in limited government, local control, sound money management and free enterprise.
*
Yes
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Individual membership
$
30.00
Individual membership (2 year)
$
50.00
Couple's membership
$
50.00
Couple's membership (2 year)
$
90.00
Newsletter subscription (email)
$
Free
Newsletter subscription (postal mail)
$
25.00
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