Golden Gate Republican Women - Member Application

* First

* Last

Spouse

* Address

* City

* State

* Zip

* Date of Application

* Cell Phone

Home Phone

* Preferred Phone

Cell
Home

* Email

Birth Date

* I am registered to vote as a Republican.

Yes

Referred to Golden Gate Republican Women by

* I am a military veteran

Yes
No

If yes, which service branch?

I would like to offer my home for a meeting or event.

Yes
No

I would like to help with outreach, such as community outreach, hospitality, etc., political activism, voter registration, legislation, publicity, election observer

Yes
No

I would be willing to serve on the Executive Board or join/chair a committee

Yes
No

I can take pictures occasionally at events

Yes
No

I am computer savvy

Yes
No

I am able to help with social media postings

Yes
No

I am able to help with website content

Yes
No

Include my email address or phone number in the Membership Directory?

Yes
No

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