[] 1 Step 1 ARW Membership Application Membership Type:New MemberRenewal Datedate_range Name Birthdate (exclude year)(exclude year) AddressRequired by PAC Apt, Suite, Bldg. (optional) City State Zip Spouse Senate District Emailemail Cell Phoneyour full name Home Phone Occupation(Required by law for Political Action Committee. If not employed, use retired, volunteer, homemaker.) (Required by law for Political Action Committee. If not employed, use retired, volunteer, homemaker.) Membership TypeActive Member - $48 (includes $3 processing fee)Associate Member - $20 (Either a man or a woman with active membership in another Federated Republican Women’s Club.) Optional ARW Nametag:Pin - $15Magnetic - $15 Optional Donations:Support Our Troops Sponsor - $15 (Includes recognition in our Directory) Directory Sponsor - $5 (help pay to publish our Directory of Members) General Donation Committees/Interests:Publicity/MediaTreasurer/BookkeeperReporting on LegislationGet Out the Vote/Voter RegistrationFundraisingCaring for America (support the troops)Hospitality (check-in, welcoming new members)I can help where needed Comments: $ [ field29 + field30 + field32 + field33]Stripe Card PlaceholderApply Submit Form keyboard_arrow_leftPrevious Nextkeyboard_arrow_right FormCraft - WordPress form builder
