To qualify for Active membership, an individual shall be a registered Republican woman. An Active member automatically becomes a member of the Florida Federation of Republican Women and the National Federation of Republican Women.

We invite you to print the following application:

                                                          MEMBERSHIP APPLICATION 2006

NAME _______________________________ Birth Month and Day ___________________


ADDRESS _______________________________________________________________


_______________________________________________________________________


E-MAIL ADDRESS: _________________________________________________________


TELEPHONE: __________________________ FAX _______________________________

Precinct #(on voter's registration card) __________ Sponsoring member ______________


I am a new member ____ Renewal ____ Member Since ____ Opportunities for membership:


Angel $50.00*  Patron $30.00*  Regular $25.00  Associate $15.00-name of club: __________

* Special Recognition Membership. Associate members are current members of another Federated Republican Women's Club and may not vote or hold office in this club. Please list other club above.

I would like to volunteer for: Fund raising ____ Telephone ____ Campaign ____

Please make you check payable to EBFWRC and return your check and this fully completed application to: EBFWRC, Bunny Campbell, 3020 NE 16 Avenue, Apt 308E, Ft. Lauderdale FL 33334-5251