2022 Membership Application
PLEASE PRINT CLEARLY
ANNUAL DUES ARE FOR JANUARY 1, 2022 THROUGH DECEMBER 31, 2022
(New members joining Oct. 1, 2021-Dec. 31, 2021 are active members effective January 1, 2022 & non-voting members for the remainder of
2021) PLEASE CHECK (ALL THAT APPLY):
$40 ACTIVE MEMBERSHIP:
Open to any woman who is currently registered as a Republican in Arizona, upholds the objectives of RWOP, and WHO DOES NOT hold active
membership in another Federated Republican women’s club. Includes full voting rights, the opportunity to hold office, and membership in
AzFRW and NFRW.
$25
ASSOCIATE: AZ Women indicate which Federated club you are a member of: _______________________________)
Open to any woman who is a registered Republican, upholds the objectives of RWOP, and who holds a current membership in another
Federated club, or to any woman registered as a Republican in another state. Open to any man who is a registered Republican and who
upholds the objectives of RWOP. Associates may not vote nor hold office.
$20 STUDENT ASSOCIATE:
Open to any student, up to and including age 24, who has at least one parent, guardian, or themselves as a registered Republican.
College students must show College ID. Student Associates may not vote nor hold office.
$20
NEWSLETTER POSTAGE: Applies ONLY to monthly Newsletter delivery to members via standard mail.
* By signing below, you will receive e-mail communications including newsletters from RWOP, unless specifically requested otherwise.
PLEASE MAKE CHECKS PAYABLE TO RWOP AND MAIL TO: PO Box 10932, Prescott, AZ 86304-0932
Photography: RWOP’s photographer takes random pictures at all events, which may be used in RWOP media. RWOP media may include our
website, newsletter, programs, Facebook, videotaping, etc. (Please see Volunteer Opportunities on Reverse Side)
X Signature Date
FOR RWOP USE ONLY: Date dues were paid __________Amount________Check #_________Cash_______CC________
ACTIVE MEMBERSHIP APPLICATION
STUDENT MEMBER APPLICATION
NAME OF APPLICANT
(on Voter Registration)
NAME OF APPLICANT (on Voter Registration)
First Last First Last
HOME/MAILING ADDRESS
HOME/MAILING ADDRESS
Number/Street or PO Box Number/Street or PO Box
CITY, STATE, ZIP
CITY, STATE, ZIP
PHONE/CELL NUMBER (XXX-XXX-XXXX) PHONE/CELL NUMBER (XXX-XXX-XXXX)
EMAIL ADDRESS
EMAIL ADDRESS
BIRTH MONTH
BIRTH MONTH
SPOUSE NAME SPOUSE NAME
REGISTERED REPUBLICAN?
REGISTERED REPUBLICAN?
YES NO YES NO
APPLICATION
APPLICATION
NEW RENEWAL NEW RENEWAL
REFERRED BY
REFERRED BY
ASSOCIATE MEMBER APPLICATION
VETERAN
VETERAN
