MIDDLE GEORGIA REPUBLICAN WOMEN
NOTIFICATION OF DUES
It is that time of year to send in our dues.
Our dues are $25 per year and are due by January 31st.
Please send your dues to:
CAROL HODGE, TREASURER
203 Ellicott Dr.
Warner Robins, GA 31088
MIDDLE GEORGIA REPUBLICAN WOMEN MEMBERSHIP
____ YES! I want to become a member of Middle Georgia Republican Women.
My check for $________ is enclosed.
Name: _______________________________________________________
Date of Birth: Month____________ Day______________
Mailing address: ________________________________________________
City/Zip code: _________________________________________________
Telephone number (s): Home ________________________Cell____________
Email: ________________________________________________________
County: ______________________Precinct__________________________
Please indicate your interests:
Attend Local Meetings ( ) Work on a Committee ( ) Attend Statewide Meetings ( )
Attend Events ( ) Volunteer on Election Day ( ) Volunteer for special projects ( )
Legislative issues ( ) Volunteer on a Campaign ( ) Computer Skills ( )
Volunteer ( ) Chair a Committee ( ) Young Republicans ( )
_____ I wish to join only to support Republican candidates.
Please make your check payable to MGRW and return this form with your check (s) to:
203 Ellicott Dr.
Warner Robins, GA 31088
