Membership Application (New & Renewal)
Republican Women of Cape Coral, Federated
New member applications will be effective upon application, payment of dues and approval of the Executive Board RWCCF.
First and Last Name *
Your answer
Your Birthdate (month/day) *
Your answer
Primary Address *
Your answer
Phone Number *
Your answer
E-mail *
Your answer
Your Registered Voting Precinct # *
Your answer
Your Registered District # *
Your answer
Check Appropriate Box *
Membership Types (must be registered Republican) *
If Above You Chose $25 Woman Member, Please List the Name of the other Federated Club you belong to
Your answer
Check Your Interests To Be Involved in RWCCF *
Required
By Signing this Application, I certify I am a registered Republican and will adhere to the policies of RWCCF by supporting Republican candidates in primary, general or special elections. I will not engage in activities or derogatory conduct that is deemed unacceptable by the RWCCF Executive Committee to injure the name of, or interfere with the activities of RWCCF, or the Republican Party, *
Your answer
Today's Date *
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Pay through the website or Make checks payable to RWCCF and mail check to 4121 SW 29th Ave, Cape Coral, FL 33914
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