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GOP CLUB of Monroe County

HELPING TO MAKE THE REPUBLICAN PARTY OF MONROE COUNTY AN ORGANIZATION

OF THE PEOPLE “A real grassroots party, in every sense.” 2011 Membership Application NAME: ________________________________________________________________________ ADDRESS: ______________________________________________________________________ CITY: ___________________________________________ STATE: _______ ZIP:______________ TELEPHONE: (HOME)_______________ (WORK) _________________(CELL)__________________ E-MAIL ADDRESS: ________________________________________________________________ VOTING PRECINCT:________________________________________________________________ Do you want your monthly newsletter sent via e-mail or mail? _________________________

OUR GOALS: • To bring people into the Republican Party and to provide them an opportunity for political expression and recognition.

To train interested people as effective political workers and potential candidates and to help work toward the election of the Republican Party’s nominees on local, state and national levels.

To foster and encourage Republican Party activities including social events and to promote the party’s ideals and principles. I attest that I am a registered Republican. Signature:____________________________________________ Date: __________________ ______ ENCLOSED IS $50 FOR MY ANNUAL MEMBERSHIP MAKE CHECK PAYABLE TO: Monroe County Republican Committee 112A PARK AVE. STROUDSBURG PA 18360 PAY ONLINE AT www.monroecountygop.com To find out how to obtain a membership by volunteering, please call 570-424-1175

MONROE COUNTY GOP CLUB FORM  
MONROE COUNTY GOP CLUB FORM  

Monroe County GOP Club Membership form.

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