Membership/Renewal Application Form

Membership is limited to all American citizens of good character who embrace the beliefs and principals of the Republican Party.

Membership Type (check one) Standard Membership $20.00 Rockefeller Membership 100.00 Lincoln Membership $150.00
Reagan Membership $500.00 Student Membership (Attending Middle or High School) $10.00

Are you a registered Republican in the City of Maumee? No

Are you a registered Republican who lives in Maumee City School District? No
Do you work or own a business in Maumee Yes No

Date:



New Member

If you are a renewing member, you do not need to fill out the information below unless your address, phone number, or e-mail has changed.




City: State: Zip:


Phone:



Please check the areas with which you may be willing to help the club. Please be assured that any selections will not be construed as your firm commitment to serve.
We only desire to know what your interest might be. Your membership is valued and your dues alone provide needed support.

Holding fundraisers for candidates Volunteering to help on candidates' campaigns Working at club events



By hitting the submit button above, your information will be sent directly to the the Maumee Republican Club.
You will then be directed to a confirmation page. Hit the "Back Button" to return to this page for payment below.

You can also download the Membership Application Form to mail-in at a later date.

 

Membership Type