Join

New members joining between October 1 and December 31 are considered paid-up through the following year. Renewing members must be paid-in-full by January 2nd and will be considered delinquent if not paid by March 1st per our Bylaws.

Name *

Birthdate: Month / Day *

Address *

Address Line 1

City

State / Province / Region

Zip / Postal Code

Phone *

Email *

Preferred Method of Contact *

Phone Call
SMS / Text
Email

Occupation / Company *

Retired? *

Emergency Contact's Name *

Relationship *

Contact's Phone *

Who referred you to join? *

Membership Level *

Sustaining Member $60 + optional donation
Regular Member $50
Associate Member $25
Student Member $10

Optional donation suggestions for Sustaining Members: $50, $100, $250, $500, $1000 Associate Members are males and primary members of other Republican Women's Clubs.

Today's Date *

I freely and Yoluntarily gave the contribution listed above from my personal property. I have not, directly or indirectly, been compensated or reimbursed for the contribution listed above.

Signature *

Type in your full name.

Please make check payable to ERWC. Print and mail this form to: Edmond Republican Women’s Club, PO Box 571, Edmond, OK 73083.