Santa Cruz YR Membership Application
Application for membership with the  Santa Cruz Young Republicans. 

Only Registered Republicans may join.

General members must be:
- Registered to vote Republican in Arizona. 
- Must live inside of Santa Cruz county
- Aged 18-40

Associate YR members must be 
- Aged 18-40
- Registered to vote Republican outside of Arizona. 

Associate 41+ members must be: 
- Registered to vote Republican 
- Must live in Arizona

If you do not meet the qualifications for any of these memberships, or have any questions/concerns, please email santacruzyrs@gmail.com for assistance! 
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E-Mail-Adresse *
First Name *
Last Name *
Address where you are registered to vote R
(Must be the address where you are a registered Republican in Arizona. Cannot be P.O. Box, alternate address, or any other info. Please contact santacruzyrs@gmail.com with any concerns.)
 *
City *
Zip Code *
Phone number *
Date of Birth *
Datum
Who is your employer?
What is your occupation?
We want to stay connected!
Drop your Telegram so we can add you to the membership group chat, and social media handles so we can follow you!
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