Gillespie Young Republicans Membership Form

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Email *

First Name *

Last Name *

Address Line 1 *

City, Zipcode *

County of Residence *

Date Of Birth (Voting Membership is from 18-40) *

YYYY

Phone Number *

Form of Payment Preference (Dues are $10 a year) *

Paying Via Venmo

Requesting other form of Payment

Payment Issue

Eventbrite

PayPal

Other:

Would You Like to Get Involved or receive more information on any of our opportunities? Check all that apply: *

Grassroots Outreach (Blockwalk/Phone Bank/Poll Greet For Candidates)

Conduct Election Work (Become an Election Judge/Poll WorkerVoter Deputy Registrar)

Party Activism (Become a Precinct Chair or SREC OR Attend Precinct/Senate/State/National Convention)

Appointment to Local Municipal Board. FOR MORE INFO: https://texasyr.gop/boards-and-commissions/

Serve Public Office (State Board/Local, State or Federal Elected Office)

TYRF/YRNF Convention Delegates (Voting on Behalf of Local YR delegation at YR Conventions)

Are you interested in attending a TYRF campaign deployments (statewide campaigning) *We pay for hotel/food/travel to campaign for Endorsed candidates around Texas?

All of the Above

None of the Above

Other:

Required

I have liked the Gillespie Young Republicans Page at Facebook.com/GillespieCountyYRs

Yes, because I'm that cool

No, because I'm not that cool

I would like the Facebook page, but I don't have a Facebook

A copy of your responses will be emailed to the address you provided.

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