Piryx™

Join the Fauquier County Young Republicans

http://www.fauquieryrs.org

Please complete the following form to apply to join the Fauquier County Young Republicans. You must be between the ages of 18-40, a registered Virginia voter, and not a member of any other Young Republicans or College Republicans club. Active memberships are $10 for an individual and $15 for a couple. Associate (non-voting) memberships are $5. Couples will be asked for your spouse's contact information in a separate email.

Personal Information

  • Required
  • Required
  • Required

  • Required
  • Required
  • Required
  • Required

Required

Required



Employment Information

  • Required
  • Required

Contribution Amount

Payment Information

Billing Information







Your donation will appear on your credit card or bank statement as "RP*"

Amount:

By clicking submit you agree to our refund policy in our terms of service.

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer for individuals whose aggregate contributions exceed $200 in a calendar year. Contributions to the Fauquier YRs are not tax deductible as charitable donations.

Piryx - The Social Giving Platform

Now fundraising is as easy as writing a blog or posting a status update and can be integrated into your website, product or mobile app. With Piryx, causes raise money online in more volume and much more effectively across the web. To learn more and create your own free account visit Piryx.com.