Republican Women of Okaloosa, Federated

Membership Application

You must be a registered Republican to join this organization

NAME: ______________________________DATE:___________________

ADDRESS: ___________________________________________________

PHONE: ____________ (H) _____________ (O) ______________(CELL)

EMAIL:__________________ BIRTH MONTH & DAY_______________

Membership Levels: (Saints, Angels & Patrons will be eligible for free lunch drawing)

SAINT:_______ $100 Active membership, plus $65 donation

ANGEL: _____ $ 75 Active membership, plus $40 donation

PATRON: ____ $ 50 Active membership, plus $15 donation

ACTIVE:_____ $ 35 Active membership

ASSOCIATE: __ $ 15 Associate membership (You must be a registered Republican and be a fully paid member of another federated club, spouse of a member or male friend of an Active Member. Associates may not vote, hold office or serve as a delegate or alternate for the club to National and/or State conferences or conventions.

Checks are payable to RWOF. Contact Kathy Foster with questions - 244-4490.

This form may be mailed to: Republican Women of Okaloosa, Federated P.O. Box 1202, Shalimar, Florida 32579