Membership Join or Renew Your Membership Today PRIMARY MEMBERSHIP: WOMEN ONLY Any woman, who is a REGISTERED REPUBLICAN and believes in the principles of the Republican Party and intends to support Republican candidates, is eligible for membership. Members in good standing have voting rights and membership in the National Federation of Republican Women and Florida Federation of Republican Women. Dues renew annually in January. Choose only one level (Patriot and Conservative are Patronage Level Memberships and we thank you for your donation!):Primary Membership(Required) BUSINESS CONNECT* | $250 PATRIOT | $150 CONSERVATIVE | $100 PRIMARY | $50 *BUSINESS CONNECT Level memberships are a unique opportunity to connect your membership to your business. We support local and small businesses with an entire page on our web site with your name and business link so other members can easily support you. Printed recognition at meetings, a designated BUSINESS CONNECT literature table to promote your business and one complimentary program registration for you or a prospective member. We will also promote your business on our club social media accounts if desired. Associate members have the opportunity to join at this level but may NOT vote, hold office or chair a committee.Associate Federated Membership(Required) WOMEN ASSOCIATES | $25: Women who are voting members of another federated club. MEN ASSOCIATE | $40 Republican men may be eligible for membership Associate members may NOT vote, hold office or chair a committee.Name of your Federated Club Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) Birth Date(Required) MM slash DD slash YYYY Cell Phone(Required)Home PhoneElected Official Title By signing this application, I certify that I am a registered Republican and required to follow the by-laws, and participate in club activities and fundraisers. Signature(Required)Date(Required) MM slash DD slash YYYY If joining as an Associate Member, you MUST hold an active membership in another Federated Club. Please list the Federated Club:(Required) Would you like a name tag?(Required) Yes No Donation $10 $125 $300 $400 $500 $1000 Campaign finance law requires us to collect your employment information.(Required) I'm retired I'm not retired Employer(Required) Occupation(Required) Total Choose Your Payment Method*PayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
