Republican Party of Sumner County | Hendersonville, TN

Membership Info:

Click here to contact:

William Lamberth
Membership Chair
615.308-5557

Make Checks Payable to:
Republican Party of Sumner County
PO Box 1055
Hendersonville, TN 37077

New Member Application
Republican Party of Sumner County
**PLEASE NOTE: Your application must be approved by the Executive Committee.
Name:
Mailing Address:
City:	State: Zip Code:
Email:	Repeat Email:
Phone:	Mobile:
PLEASE CHOOSE YOUR LEVEL BELOW:
Guest of::	(if applicable)
ALL MEMBERSHIPS: Include $60 for Breakfast for the Year!
$25 - YR’s and Republican Women (with paid YP or RW membership)
$25 - Senior (65 and over)
$50 - Regular Member
$100 - Contributing Member (receive 1 T-Shirt; Bumper Sticker and Pin) size
$250 - Distinguished Member (receive 2 T-Shirts; 2 Bumper Stickers & 2 Pins) sizes
$500 per couple - Chairman's Circle Membership (receive 2 Fleece Pullovers; Bumper Stickers & Pins) sizes
$1000 per couple - Statesman Circle Membership (receive 2 Fleece Pullovers) sizes 2 Reagan Day Tickets; Free Admission to Monthly Breakfast; 2 Tickets to exclusive Statesman Circle event.)
In the past five years, have you voted in a Democrat primary? Yes * No
Have you ever held or run for an office as a Democrat? Yes * No
(*Note: Checking "Yes" does not necessarily preclude you from becoming a member)
By digitally signing below, I affirm that I am a Committed Republican:
Digital Signature: (type full name)

Choose submit and process your payment online after submission on the 'thank you' page;
or choose bill me.

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