Membership Application — Powhatan County Republican Committee

Powhatan County
Republican Committee

Membership Application

The Powhatan County Republican Committee is a free association of neighbors organized to promote the principles of the Republican Party, elect its nominees to public office, and act within the Commonwealth of Virginia toward those ends. We'd be glad to have you.

Your Information

Name

Mailing Address

Telephone

Voting Precinct

I intend to support the Party's nominees for public office in the coming election.

Committees I'd Serve On (optional)

Finance

Rules

Bylaws

Nominations

Magisterial District

Dues

Full Membership — $30. A vote on committee business and a seat at each monthly meeting; regular attendance expected, in person or by proxy.

Associate Membership — $15. Every privilege of membership except the vote and the attendance requirement.

Additional donation to the committee $ __________

Make checks payable to the Powhatan County Republican Committee (PCRC).

Return this form with payment

By mail to the Committee Secretary, or in person at any monthly meeting — second Thursday, County Seat Restaurant, Powhatan.

Secretary: ________________________ · Address: ________________________________

This contribution is not tax deductible. Authorized and paid for by the Powhatan County Republican Committee.

Signature

Date

Draft — confirm the current Secretary and mailing address before printing for members.