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Tuesday, July 8, 2008
Welcome to www.maurygop.com.
Date: 7/8/2008
Name:
First Name: M.I.: Last Name:

Address 1:
Address 2:
City: State: Zip Code:
Telephone:
- -  Home
- -  Work
- -  Fax
Email:
Voter Precinct:

PLEASE CHECK THE APPROPRIATE MEMBERSHIP CATEGORY
Individual Membership- $15.00 Per Year
Family Membership- $25.00 Per Year
Additional Contribution (Appreciated Very Much):
PLEASE MAKE ALL CHECKS PAYABLE TO THE "MAURY COUNTY REPUBLICAN PARTY". CHECKS SHOULD BE MAILED TO THE ADDRESS ABOVE
Would you volunteer to work in the Maury County Republican Party as a:
Precinct Chairperson:
Precinct Vice-Chairperson:
Block Chairperson:
Put up Signs:
Make phone calls:
Main Headquarters when Open:
Other- please specify:
Suggestions: