Memberships | Macombgop

MACOMB COUNTY REPUBLICAN PARTY

MEMBERSHIP APPLICATION

Selet Membership

STUDENT: College; FREE for high school students - $15.00

SENIOR/MILITARY: SINGLE Membership (individual) Senior/Military - $40.00

SENIOR/MILITARY +FAMILY: FAMILY Membership of Senior/Military members living in your home - $60.00

INDIVIDUAL: SINGLE Membership (individual) - $50.00

INDIVIDUAL +FAMILY: FAMILY Membership of Single members living in your home - $75.00

Primary Member's Full Name

Spouse's Full Name (If Family)

Children's Full Name (If Family)

Select an Address

If Student, Name of School

Who Referred You to the Macomb GOP?

Phone

If Student, Age of Student

Total Registered Voters at this Address

State Election Law requires political committees to report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $100 per election cycle

Primary Member’s Employer’s Name:

Primary Member’s Employer’s Street Address:

Primary Member’s Occupation

*CC/Debit Cards flat $2.00 service charge

REV. SCOHOON 3/13/23