| Name: * |
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| Address, Line 1: * |
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| Address, Line 2: |
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| City, State Zip Code: * |
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| Work Phone: |
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| Cell Phone: * |
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| Email: * |
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| Occupation: * |
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| Employer: * |
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| Are you a Registered Voter? * |
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I would like to organize or participate in fundraisers |
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I would like to run for office |
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I would like to draft public policy papers |
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I would like to meet my elected officials |
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I would like to work in government |
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I would like to assist with RIC events or conventions |
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I would like to volunteer on a campaign |
| NOTE: |
Membership is on a calendar-year basis and commences upon approval. Annual individual membership dues are
$100 per person. You must be a U.S. Citizen or Permanent Resident to be a member.
PER FEDERAL AND STATE LAW, YOUR CONTRIBUTION IS NOT DEDUCTIBLE FOR INCOME TAX PURPOSES. |
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