Membership Application
Effective January 1, 2025 - December 31, 2025. Please fill out the following information to apply for membership.
Are you a Registered Republican?
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Yes
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Type of Membership
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Please Select
Regular Member (new)
Regular Member (renewal)
Associate Member (new)
Associate Member (renewal)
Your Name
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First Name
Last Name
Email Address
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Address
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Street Address
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Phone Number
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Who Referred you to SIRW?
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Standard Membership
Standard Membership for members. This includes a small convenience fee of $1.62 for online payments.
$
41.62
Associate Membership
Membership fee for associate members. This includes a small convenience fee of $1.13 for online payments.
$
26.13
Type
Man
Student enrolled full-time
Upgrade add-on: Bronze Member
$
25.00
Upgrade add-on: Silver Member
$
50.00
Upgrade add-on: Gold Member
$
75.00
Upgrade add-on: Platinum Member
$
100.00
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