VERMILION COUNTY REPUBLICAN WOMEN’S CLUB

PURPOSE

Further the interests of the Republican Party through education of our members and to increase the effectiveness of women in the cause of good government through active political participation and to elect qualified Republican candidates.

NEW MEMBERSHIP or RENEW MEMBERSHIP

We welcome your support of and participation with Vermilion County Republican Women’s Club.

2012 DUES

[Membership January 1, 2012 – December 31, 2012]

Please make check for $20.00 payable to:  Vermilion County Republican Women’s Club

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Click & print out this form 

Mail dues check for $20.00 with completed form below to our Membership Chair:

Glenda Carpenter
Vermilion County Republican Women’s Club
128 Lakeside
Danville, Illinois 61832
 

Name _________________________  

Street ___________________________

 City ___________________________  

Zip + 4 ___________________________

ZIP +4 REQUIRED by STATE & NATIONAL MEMBERSHIP

Home Phone ____________________ 

Bus. Phone _______________________

Cell # __________________________  

Email ___________________________

THANK YOU!

Hosted by BEAMSCO for the Vermilion County Republican Women’s Club