BCR Online Membership Form

Los Angeles Republican Clubs United

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Beach Cities Republicans
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* For BCR Use Only *

BEACH CITIES REPUBLICANS ONLINE MEMBERSHIP APPLICATION

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Student $10 (Valid Current ID Required) Regular $25 Couple $40 "Because I Can" $50 Executive $100 Club Sponsor $500 Leadership Circle $1000

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Please make check to Beach Cities Republicans / Contributions NOT deductible for income tax purposes.
Please print this form with payment and mail to:
Peter Michel
C/O: Beach Cities Republicans
Attn.: Membership Dues
PO Box 1043
Palos Verdes Estates, CA 90274-7843

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