Powhatan County Republican Committee
Declaration of Candidacy for Membership
Name:_______________________________________________________________________
Address: _____________________________________________________________________
Telephone: _______________________ Voting Precinct: ___________________________
Email: _______________________________________________________________________
The Powhatan Republican Committee is a free association organized for the purposes of promoting the principles and achieving the objective of the Republican Party, electing duly nominated or designated Republican candidates to public office, and performing official actions within the Commonwealth of Virginia, consistent with these purposes.
I intend to support all of the Party’s nominees for public office in the ensuing election.
I am interested in serving on the following committees:
Finance Committee: _____ Rules Committee: _____ Bylaws Committee: _____
Nominations Committee: _____ Magisterial District Committee: _______
********************************2019 DUES************************************
Please make checks payable to the Powhatan County Republican Committee or PCRC
Function Dues Were Paid: _________________________________
Collected by:____________________________________________
_____Full Membership $20.00 (Full Membership includes regular attendance at monthly meetings in person or by proxy and having a vote on matters that come before the committee)
_____Associate Membership $10.00 (Associate Members shall have all privileges of other Members except they shall be exempt from attendance requirements and shall not be entitled to a vote)
_____Donation to Powhatan County Republican Committee
*Please remit this form along with your check to the Secretary, Diane Foster at 3345 Pineacre Dr., Powhatan, VA 23139*
*This contribution is not tax deductible.*
Signature: _________________________________________________________
Date: _________________
Declaration of Candidacy for Membership
Name:_______________________________________________________________________
Address: _____________________________________________________________________
Telephone: _______________________ Voting Precinct: ___________________________
Email: _______________________________________________________________________
The Powhatan Republican Committee is a free association organized for the purposes of promoting the principles and achieving the objective of the Republican Party, electing duly nominated or designated Republican candidates to public office, and performing official actions within the Commonwealth of Virginia, consistent with these purposes.
I intend to support all of the Party’s nominees for public office in the ensuing election.
I am interested in serving on the following committees:
Finance Committee: _____ Rules Committee: _____ Bylaws Committee: _____
Nominations Committee: _____ Magisterial District Committee: _______
********************************2019 DUES************************************
Please make checks payable to the Powhatan County Republican Committee or PCRC
Function Dues Were Paid: _________________________________
Collected by:____________________________________________
_____Full Membership $20.00 (Full Membership includes regular attendance at monthly meetings in person or by proxy and having a vote on matters that come before the committee)
_____Associate Membership $10.00 (Associate Members shall have all privileges of other Members except they shall be exempt from attendance requirements and shall not be entitled to a vote)
_____Donation to Powhatan County Republican Committee
*Please remit this form along with your check to the Secretary, Diane Foster at 3345 Pineacre Dr., Powhatan, VA 23139*
*This contribution is not tax deductible.*
Signature: _________________________________________________________
Date: _________________
| 2019_pcrc_membership_form.pdf |
