Walton County GOP


Membership Information


                                                                     Walton County Republican Party

 

                                                            Membership Application

 
                                                                                               Family___ , Individual___,  
                                                                                            Business____,  Corporation___                                                          
 
                                                  NAME:__________________________________
                       
                                                  Address: ________________________________
                        
                                                   City: ____________________ Zip_____________
                         
                                                   E Mail:__________________________________
 
                                                         Phone # H ___ ___ ____ , Cell# ___ ___ ____
                                                            
                                                              Work#: ___ ___ ____ , FAX#: ___ ___ ____
                               Information: If you would like to get involved with our growing party here in 
                                         Walton County, just check the box below for your area of interest :
 
                                        ___  WILL HELP IN CANVASSING/POLLING

                                     ___   WILL HELP MAKE PHONE CALLS


                                     ___   WILL HELP WITH COMPUTER MEMBERSHIP LIST FOR COUNTY

                                     ___   INTEREST IN RUNNING FOR PUBLIC OFFICE


                                                                       
                                     ___   INTEREST SERVING AS A DELIGATE TO COUNTY/ STATE CONVENTION
                                                                               ___   OTHER.
                                                                         Comments: _________________________________________________________
                                                                                                           _________________________________________________________
                                                                                                           _________________________________________________________

                                                                                                          _________________________________________________________

                                                                   
 
                                                                                Annual Dues
                                $25.00 Individual, $50.00 Family , $100.00 Business/ Corp, $350.oo Patron
            
To Print this print this page simply high light this page hit CONTROL  C on your key board to copy
   then open your mail service (for new E mail), Once there hit CONTROL V on your key board to
                     paste to your new
e mail this form and send to the e mail address below.
                                   
                                                                                   rnroberts@windstream.net
                                                         
                                                                                                OR

                                                   you can print this form and mail your payment to
 
                                                                                      MAIL COMPLETED APPLICATION TO:
                                                                                                      ROY N. ROBERTS
                                                                                                          P.O. BOX 390
                                                                                                      MONROE,GA. 30655
                                        Help us help you ,by making your payment now through our new on line 
                                                                                       
                                                                                    PayPal Account

                                                                                                          


                          
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