Membership Application

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Renewing Members

Annual Dues
$50.00 cash/check; $51.50 card

Men are welcome to join our club.

Name*
First Last
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email*
Membership Renewal
Price:

Credit Card

(Includes a $1.50 processing fee for card payments.)

Cardholder Name

Card Details

Total
$0.00
Phone
This field is for validation purposes and should be left unchanged.

New Members

2024 Dues When Joining after July 1
$25.00 cash/check; $26.50 card

Complete and Submit the Membership Application below.
For inquiries, questions or payment of dues – call (912) 790-5161 and ask for Kerry Coursey. We’ll be in touch as soon as possible. Thank you!

*Please note applicants are not considered official members until dues are paid.

Today's Date*
MM slash DD slash YYYY
Name*
First Last
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Email*
Who invited you?*
Which areas interest you?*
A checkmark is not a commitment.
- Precinct Work (w/ CC GOP)
- Hospitality
- Newsletter
- Fundraising
- Scholarship
- Education/Literacy
- Legislation
- Name Tags
- Membership
- Social Media
- Addressing/Mailing
- Telephoning
- Computer Skills
- Artwork/Decorating
- Board of Directors
- Other Talents
Describe other talents:
Membership Fee
Price:

Credit Card*

(Includes a $1.50 processing fee for card payments.)

Cardholder Name

Card Details

Total
$0.00
Phone
This field is for validation purposes and should be left unchanged.

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