Annual Membership/Operating Fund Application
HALL COUNTY REPUBLICAN PARTY
www.hallgop.com
Hallgop@usa.net 770-297-0329
Hallgop@usa.net 770-297-0329ANNUAL DUES (Jan 1 - Dec 31) Individual Membership =$20.00 Membership for couples = $40.00
Individual Membership =$20.00 Membership for couples = $40.00YES - I (we) want to become member(s) of the Hall County Republican Party. Enclosed are
dues in the amount of $____________.
YES – I (we) want to renew membership in the Hall County Republican Party. Enclosed are
dues in the amount of $____________.
YES - I (we) enclose the following contribution to help to support the programs of the
HALL COUNTY REPUBLICAN PARTY. Enclosed is a contribution for:
(__) $25.00(__) $50.00 (__) $100.00 (__) $ __________
(__) $50.00 (__) $100.00 (__) $ __________NAME______________________________ SPOUSE___________________________
Voter Registration Number_______________ Voter Registration Number______________
Home Phone Number___________________ Home Phone Number__________________
Work/Cell Phone Number________________ Work/Cell Phone Number_______________
E-Mail Address________________________ E-Mail Address______________________
Home Address______________________________________________________________
City________________________________ State________Zip Code_________
State________Zip Code_________Voting Precinct Name___________________ Voting Precinct Number________
Add us to your volunteer list in the following areas (Check your selections):
____Computer work ____Headquarters _____Membership Growth
____Headquarters _____Membership Growth____Phone Bank ____Fund Raising/Special Events _____Candidate Assist.
____Fund Raising/Special Events _____Candidate Assist.____Hispanic Outreach ____Letters to Editors _____Other (Specify)
____Letters to Editors _____Other (Specify)Signature: ________________________________Date:__________________(Required)
Please Mail This Form And Your Check To:
Hall County Republican Party, PO Box 1174, Gainesville, GA, 30503
