Meeting 2nd Monday of month – Check website www.irvingrepublicanwomen.com for details

IRW objective is to foster loyalty to the Republican Party and to promote its principles and candidates in all elections including non-partisan elections.

Name:
Spouse Name:
Email Address:
Home Telephone Number:

Cell Number:

Address:
City:

State:

Zip:
Occupation:

(Texas Federation of Republican Women Requirement)
Birth Day:

Registered Voter (Y/N):

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Check your voter registration card for the following information:
Senatorial District #:

Precinct #:

Congressional District #:

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Type of Membership:
Regular ($45):

Supporting ($50):

Associate ($15):

Friend of IRW ($250):

Student ($2):

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I am interested in serving the club: Check your choice:
Programs
Membership
Legislative
Publicity
Fund Raising
Campaign Activities
Other

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I want to work on City/State/National Elections. (Y/N):

List Special Interests:

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Mail membership application and check payable to Irving Republican Women, Elena Blake, 812 Murl Drive, Irving, Texas 75062.

Political Advertising Paid for by the Irving Republican Women PAC. Contributions are not federal tax deductible as charitable contributions. Corporate Contributions Are Not Permitted.