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Hidalgo County Young Republicans Membership Form 2020
$10 Yearly Fee
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Membership Type
*
Regular Member (18-40)
Associate (40+)
Student (must show proof of school schedule)
Veteran
Couple
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zipcode
*
Your answer
Email Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
V.U.I.D. (Voter Unique Identifier)
Your answer
Payment Method
*
Cash
Check (Please make checks payable to Hidalgo County Young Republicans)
Card (You will receive an invoice via email to pay online)
Free Pass
Who referred you to join HCYR?
Your answer
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