RPBC Quadrennial Convention

http://www.bcgop.org

Welcome to the 2012 Quadrennial Convention Registration page.

The RPBC Quadrennial Convention will be held Saturday May 19, 2012 from 1:00-6:00PM at La Cueva High School, 7801 Wilshire NE. Early registration is $25 (until May 15). Late registration is $45.

To help us make the convention an enjoyable experience for all please enter your name and address below EXACTLY as it appears on your voter registration card. This will help us quickly and easily verify your identity as a registered Republican in Bernalillo County.

Should we have difficulty verifying your registration we will contact you using the information you provide below.

This is a convention for registered Republicans of Bernalillo County ONLY. Thank you for your cooperation.

You may check your voter registration and voter history at the following link: https://voterview.state.nm.us/

Contribution Amount

$25 - Registration for Quad Convention

Personal Information

First NameRequired
Last NameRequired
EmailRequired
Home AddressRequired
Home Address (line 2)
CityRequired
StateRequired
Zip/PostalRequired
Phone NumberRequired

Employment Information

EmployerRequired
OccupationRequired

Payment Information

Debit/Credit Card

Billing Information

Same as home address.
Billing Address
Billing Address (line 2)
City
State
Zip/Postal

Legal Compliance

I affirm that the following statements are true and accurate:

The Republican Party of Bernalillo County is a non-profit 527 Political Committee.

All contributions are reported to the Secretary of State of New Mexico in accordance with state and federal law.

NOT ENDORSED BY ANY CANDIDATE OR CANDIDATE'S COMMITTEE.

NOT ELIGLIBLE FOR TAX DEDUCTIONS.

I want to publish my name to the RPBC Quadrennial Convention giving stream! (Note: your contribution amount will not be shown)

Your donation will appear on your credit card or bank statement as "RALLY/PIRYX"

Amount:

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

We will charge your card or your checking account the registration amount, all sales are final no refunds or rain checks.

If you have any questions please call the office during business hours at 505-265-0981

For technical issues, please contact exec@bcgop.org.

Paid for by the Republican Party of Bernalillo County. Not affiliated or authorized by any candidate or candidate committee.

This form is secured using 256-bit SSL encryption.

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