Thursday, March 6, 2008

Support MCRW With Your Membership

Dues are $20.00 for membership, $10.00 for an Associate Membership. (Associate Membership is open to women who are a full paying member of another unit and to Republican men.) Just want to stay on our mailing list? Your donation is greatly appreciated.

Mail your check, payable to: “Madison County Republican Women” and send it, along with this application form *, to:

ATTN: Treasurer

Madison County Republican Women


P.O. Box 314


Madison, VA 22727



Name: _________________________________________________


Phone No: _____________/______________________



Address: ________________________________________________


City/State/Zip: ________________________________


Fax: _________________________________


E-mail:_________________________________________________________



Amount Enclosed: $______________


Check No. _____________________


* - Highlight, copy and paste to a document program and print or highlight and right click to print the section.