Membership Application
| Name: ______________________________ |
| Address: ______________________________ |
| City/State/ZIP: ______________________________ |
| Phone: ______________________________ |
| E-Mail: ______________________________ |
| I’m a member of the following Organizations &/or currently hold elected office as: |
| ___________________________________________________ |
| ___________________________________________________ |
| ___________________________________________________ |
| Yes, I am currently a registered Voter in the County of________________________ in the state of____________________ (Membership is open to all Republicans.) |
| Your signature _________________________________ |
Annual membership dues $60.00, spouse membership dues $30.00, student membership dues $30.00.
All members receive a membership card, Pachyderm lapel pin, and quarterly subscription to the National Federation of the Grand Order of Pachyderm Clubs Newsletter.
Please print this application & bring it to our next meeting.
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