Membership

This is the opportune time to join Golden Triangle Republican Women! GTRW is currently the largest Republican Women’s Organization in Texas and WE NEED MORE MEMBERS to help us TAKE BACK CONGRESS IN 2022!
Primary Members of GTRW are NOT MEMBERS of any other local Republican Women’s organization.
Annual dues paid to GTRW are used to enroll members in our parent organizations, TEXAS FEDERATION OF REPUBLICAN WOMEN and NATIONAL FEDERATION OF REPUBLICAN WOMEN.
We need to know in which Texas Senatorial District you reside. Please click here to locate: https://wrm.capitol.texas.gov/home
Again, we so appreciate your joining our Republican Organization and look forward to working with you throughout the coming years.
IF YOU EVER encounter an issue with this form, please email: GTRW.email@gmail.com with the particulars.

Contact Information

We are required to have all of this information by federal law. Please make sure to fill out every required field.

Name*

First Last

Occupation*

Employer*

Cell Phone*

Home Phone

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Birthdate

Texas Senatorial District

Leave blank if you do not know it.

Areas of Interest

Check one or more where you would like to participate.

Women may join only one Texas Federation of Republican Women’s organization as a Primary Member, but can join other RW clubs as an Associate to support their activities.

Are you paying for a membership for yourself or someone else?

Membership for myself

Membership for someone else

Name of Member*

First Last

Membership Level*

New - Primary Member ($35)

Renewal - Primary Member ($35)

New - Associate Member ($25)

Renewal - Associate Member ($25)

New - Young Affiliate Member ($15)

Renewal - Young Affiliate Member ($15)

Yes, I would like to:

Receive Emails

Receive Texts

Appear in the Directory

Name Tag*

Yes, I would like a name tag

No, I do not want a name tag

Name to go on Name Tag*

Additional Donation

Payment

Golden Triangle Republican Women is a Political Action Committee (PAC).
NO COMPANY OR CORPORATE CHECKS ACCEPTED
Renewals due Jan 31, but can be prepaid beginning Oct 1 of previous year.

ADMIN ONLY: Payment was received offline:

Card

Check

Cash

Payment Method*

Credit Card

Check

Check Number*

Credit Card Fee

Price: $0.00

Total

Make checks payable to GTRW and mail to:

GTRW Membership
P.O. Box 12902
Beaumont, TX 77726

Credit Card*

Card Details

Cardholder Name

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