APPLICATION FOR MEMBERSHIP
Any woman, registered as a Republican, who believes in the principles of the Republican Party and intends to support its candidates is eligible for membership, when sponsored by a member of The Belleair Women's Republican Club. Male members are very welcome as sustaining members.
TELEPHONE NUMBER :_________________________________
CELL PHONE NUMBER: ________________________________
SPONSOR'S NAME: ______________________________________
REGISTERED REPUBLICAN: ___YES ___NO
PRECINCT NUMBER: ____
I am interested in helping, and would be willing to do the following:
___2. Help Republican Candidates
___3. Help at the Pinellas Republican Executive Committee
___4. Run for office within the club.
___5. Other duties in the Club (newsletter, publicity, help with fund raising).
My computer skills are _________Excellent __________Good ___________Fair ______________ Poor
ANNUAL DUES: $1.00 (This year only) January-December
Please make your check payable to B.W.R.C. and bring it with you to the next meeting, or mail to
5512 Salem Square Drive N
Palm Harbor, FL 34685