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CONTACT INFORMATION

Pay By Paypal or Credit Card

Name*

Birthday*

Street Address*

City/State*

Zip Code*

Home Phone*

Work Phone

Cell

Fax

Must have at least one phone number so we can reach you

Email Address*

Emergency Contact Name and Phone*

Type of Membership :
New: $45
Renewal: $45
Pay before 02/01/2021: $42
Associate: $25*

You have choosen

Register Republican?YesNo (must be registered Republican to be a Member)

Regular Member of another Federated Club?YesNo

If “yes” name of other Club

Interest: Tell us in which areas you are interested in volunteering*Executive Board MemberFirst Vice PresidentSecond Vice President ProgramsThird Vice President MembershipFourth Vice President Ways & MeansAmericanismChaplainSunshineLegislatureNewsletter EditorParliamentarianPublicityHoliday EleganceTelephone TreeVoter registrationWebsiteOther

Pay by PayPal or Major Credit Card by clicking the button below and following instructions from PayPal.

Pay By Check

CONTACT INFORMATION

Pay By Check

Name*

Birthday*

Street Address*

City/State*

Zip Code*

Home Phone*

Work Phone

Cell

Fax

Must have at least one phone number so we can reach you

Email Address*

Emergency Contact Name and Phone*

Type of MembershipNew $45Renewal $45Pay before 02/01/21 $42Associate $25

Register Republican?YesNo (must be registered Republican to be a Member)

Regular Member of another Federated Club?YesNo

If “yes” name of other Club

Interest: Tell us in which areas you are interested in volunteering*Executive Board MemberFirst Vice PresidentSecond Vice President ProgramsThird Vice President MembershipFourth Vice President Ways & MeansAmericanismChaplainSunshineLegislatureNewsletter EditorParliamentarianPublicityHoliday EleganceTelephone TreeVoter registrationWebsiteSocial MediaOther

Make your registration/renewal checks payable to:
"CRWF"
Mail to:
Chico Republican Women Federated
PO Box 6553, Chico CA 95927