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2008 Republican Party of Bartow County Membership Form (January 1 - December 31)

Our Sponsors

Also Available in a PDF Format for Printing

The online form is currently not working.  Please use the PDF form or email michael@bartowgop.com with the information below and make your payment through PayPal.  I am sorry for the inconvenience and I hope that the online membership form will be up again soon.

Name: 

Spouse Name: 

  Address (Street, City, State Zip)

  Home Telephone: 

  Cell Phone: 

  Work Telephone: 

  E-Mail: 

 

Join Our Mailing List
Email:
   

 

Please fill out your e-mail address in both boxes to start receiving e-mail updates and press the "Go" button.  After pressing the "Go" button, follow the directions and then finish filling out this form.

  Voting Precinct: 

  Employer (Required by F.E.C.)

$25 Level ($40 for 2 years):  Individual Membership & Information Updates

$35 Level ($60 for 2 years):  Household Membership & Information Updates                  

$75 Level ($125 for 2 years):  Household Membership, Information Updates & Sponsor Status in newsletter and website                      

$150 Level ($250 for 2 years):  Household Membership - Silver Sponsor, Information Updates, Sponsor Status in newsletter and website, Bartow GOP Shirt & Invitations to Special Events                                

$300+ Level  ($500+ for 2 years):  Household Membership, Information Updates, Sponsor Status in newsletter and website, Link to your website at www.BartowGOP.com, Bartow GOP Shirt, Invitations to Special Events & Bartow GOP Hat

I have paid for 2 years

I would like more information before I join. 

I am interested in:
(Select all that apply)

Volunteer My Time     Serve as a Precinct Officer   Attending Monthly Meetings

Assist Candidates With Campaigns    Contributing Financial Donations  

Serve as a Delegate at Conventions   Being Notified of Special Events

 

 
 

Please make your payment by clicking on this button:  Official PayPal Seal

or you may print and fill out the PDF  form and send your check and form to:

Republican Party of Bartow County, P.O. Box 3603, Cartersville, GA 30120