Online Membership Application Membership Status* Renewing Member New Member Membership Type* Patron & Spouse $250 Patron $145 Member $45 Associate Member $25* *Associate Membership is for women with another federated membership, spouse and Republican men. Name* First Last Spouse's Name First Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Postal Code Contact NumberBest number to reach you.Email* Required InformationPlease complete (Required by law for Political Action Committee. If not employed; homemaker, retired, private tutor, volunteers)Employer* Occupation* Registered Voter?* Yes No Senate District # Precinct # Total $0.00 Membership Costs Patron & Spouse $250 Patron $145 Member $45 Associate Member $25* Join Our Club Pay For Membership Here
