RCIR Membership Application               
Annual Membership dues for 2024 are $35.00.    Members must be registered Republicans  Prospective members must first complete this form. Membership will be approved only after confirmation and  acceptance by the Board. After approval is granted, you will be invoiced for our current annual dues. After you have paid your dues, you will become an active member. All annual dues for the year you become a member must be paid. Any months prior to you joining that you were not a member, will be credited against your following year's invoiced dues.
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FORM IS FOR ONE PERSON TO COMPLETE. ONCE SUBMITTED YOU WILL GET A NOTICE ASKING IF YOU WANT TO COMPLETE ANOTHER FORM
LAST NAME *
FIRST NAME  *
STREET ADDRESS *
CITY *
Please Use 2 Letters For State. Ex. FL for Florida
STATE 

 *
ZIP *
Enter Your Best Telephone Contact
PHONE *
EMAIL *
Are You a Registered Voter
If You Answered No, We Can Help
 *
Are You a Registered Republican.
If You Answered No, We Can Help
 *
Accept selection below. 
 Once our Director of Membership approves your application, we will  email you an invoice. 
Accept to Pay Invoiced Dues. Once you receive our Invoice, Please Mail Checks to RCIR P.O. Box 146, Vero Beach, FL 32961 *
Required
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