Life member application

Please pay $1,000.00 and note "Life Membership" in the Comment field. If you are a new member, please also note in the Comment field your Local Assembly preference or At-large member.

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Donation

* Mandatory fields

*First Name

*Last Name

*Voting Address

*Voting City

*Voting State

*Voting Zip

Mailing Address (if different)

Please enter your mailing address if different from your voting address.

Mailing City (if different)

Please enter your mailing city if different from voting city.

Mailing Zip Code (if different)

Please enter your mailing zipcode if different from your voting zipcode.

*Email

*Phone

*Republican

I am a registered Republican in the State of California. Open link

*CRA 14 principles

I agree with the CRA 14 principles Open link

*Amount ($USD)

Comment

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