Pima County Republican Women's Club

Please Join Us!

PCRWC Membership

Date: _________ Are you a Registered Republican?______________

Name: ___________________________________________________

Spouse: _________________________________________________

Address: ________________________________________________

City ST/ Zip + Four: _______________________________________

Phone: Home:____________________________________________
Work:____________________________________________
FAX: ____________________________________________

E-mail: __________________________________________________

Would you like to get more involved with PCRWC? How?___________ ________________________________________________________

Are you a member of any other Republican club in the area?

It's name

Birthday: Month: ________ Day: _________

Membership type: ________________________________________

Annual Dues run from Jan. 1st to Dec. 31st each year.

REGULAR MEMBERSHIP ~ $30
Republican female, Arizona registered voter, not a member of any other Federated

Republican Women's Club; includes full voting rights.

ASSOCIATE MEMBERSHIP ~ $15
May be a member of another Federated Republican Women's Club; no club voting rights.

AUXILIARY MEMBERSHIP ~ $10
Republican male, shall not hold office or vote.

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Yes, I want to make a difference and would like to volunteer or learn more about the following:

Check √		Check √
	Arrangements		Legislative Issues
	Americanism		Programs
	Awards		Membership
	Budget & Finance		Newsletter
	Caring For America		Ways-n-Means
	Campaigns		Webmaster

Please complete this form, bring it to the luncheon/meeting or mail it to:

Jean Devitt Brown

4425 N Hacienda del Sol

Tucson, AZ 85712