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* For BCR Use Only *
Open to Republicans Only & Republicans guest(s) of members Only!
BEACH CITIES REPUBLICANS ONLINE MEMBERSHIP APPLICATION
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Check one:
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Mr.
Ms.
Mrs.
Miss
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Level of Membership: (Check) (Choose One)
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Student $10.00 (Valid Current ID Required)
Regular Member $25.00
Couples Membership $40.00
Because I Can Member $50.00
Executive Member $100.00
Club Sponsor $500.00
Leadership Circle (Lifetime) $1000.00
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If you'd check other; please write in reponse:
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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
Beach Cities Republicans
Attn: Membership Dues
PO Box 1043
Palos Verdes Estates, CA 90274-7843
* After clicking the submit button; you will be forwarded to the payment page to pay by personal debit card or credit card.
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