Join the White County Republican Committee

Name__________________________________________________________________

Address________________________________________________________________

City__________________________________________Zip______________________

Home Phone_________________________Business Phone_______________________

Cell Phone______________________E-mail___________________________________

My interests include (Check all that apply) 

___Joining my County Committee ___Manning Headquarters

___Running for Office ___Canvassing

___Helping with fund raising ___Making phone calls

___Hosting a neighborhood event ___Putting up signs

___Writing letter  ___Helping with mailings

___Working at the polls ___Doing office work

 ___Other (Please specify)

________________________________________________________________________

For more information, call 501-388-5864 or 501-281-5566

email: chairman@whitecountyrepublicancommittee.com

To join complete this form and send along with your membership fee of $25.00 (Fees prorated, so deduct $1.00 for each month after April of the even-numbered year.)

Make checks payable to:

White County Republican Committee

Mail to:

P O Box 1963, Searcy, AR 72145