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Become a Member (Online Form)

Online Membership Form to join the Clarke County Republican Committee (ClarkeGOP)

By which name would you like to be referred

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Please let us know what we can do to assist you.

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WE don't rent or sell your name, we may do mailings for other candidates or offices and then you may follow up with them, but we will never pass along your contact info without your ok.

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I,

Please fill in your full name

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, a registered voter in Clarke County, Virginia, that lives in the

Also known as Voting District

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Voting District, do hereby seek the Republican nomination for the following: 1. Clarke County Republican Committee Precinct Member (no filing fee required); In accordance with the Qualifications for Participation set forth in the Plan of Organization of the Republican Party of Virginia, I intend to support all nominees of the Republican Party of Virginia in the ensuing election.

Date form signed

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Ideally same as voter card

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Ideally same as voter card

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Type your input data here

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Choose your Mailing Address City

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Postal Code

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WE don't rent or sell your name, we may do mailings for other candidates or offices and then you may follow up with them, but we will never pass along your contact info without your ok.

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Or you can Print and Complete Membership Form to join the Clarke County Republican Committee (ClarkeGOP) and bring form to one of our meetings.