Republican Club of Harford County Membership Application

Date : Name : Address : City : State Zip : Phone : E-Mail   Please check type of application :     Family (annual) $30 Family (lifetime) $300 Individual (annual) $20 Individual (lifetime) $200 Please make your check payable to RCHC and mail to :     Julia Bopst     3612 Duxbury Court     Jarrettsville, MD 21084 Please check your areas of interest : Social functions (e.g. summer picnic, holiday party) Fundraising (e.g. Fiore event planning, ticket sales, ad sales, decorations, silent auction) Membership (e.g. contacting new or potential members) Campaign volunteer for local candidates Voter registration events Election Day events (e.g. sign waving, door knocking, phone banking, get out the vote) Programming (e.g. arranging for speakers/events at general meetings) Publicity (e.g. email notices, newspaper notices, creating information flyers) Administrative functions (e.g. printing, envelope stuffing, maintaining databases) Community involvement projects Website (e.g. webmaster, design, article writing) Nominating Committee (e.g. sourcing for board members) Other (please elaborate) Are you registered to vote as a Republican? :  Yes     No