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League of Republican Women of DC Membership

http://www.gopwomendc.org/

In order to join the League of Republican Women of DC, please complete this online registration. Thank you!

Contribution Amount

$35 - Associate (for those whose primary membership is with another National Federation of Republican Women's club)
$35 - Young Professional (under 35)
$50 - Active Membership
$250 - Sustaining (includes membership plus admission to all DC League events)
$2,500 - Life (All benefits plus life members pay no annual dues nor event charges)

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

Card Number
CSC ?
Expiration

Routing Number
Account Number

Billing Information

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

Contribution Type

I would like to make one (1) payment per year of $0

I would like to make two (2) payments per year of $0 on December 14 and June 14

I would like to make four (4) payments per year of $0 on December 14, March 14, June 14 and September 14

I want to publish my name to the League of Republican Women of DC Membership giving stream! (Note: your contribution amount will not be shown)

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

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