Palm Springs
Republican Women Federated

           Membership Dues $30.00 /  Associate Member Dues $20.00

   Make checks payable to: Palm Springs Republican Women Federated
   Mail to:  P.O. Box 1092, Palm Springs, CA 92263-1092

           New: _____   Renewal: _____    Associate: _____

You were invited to join by __________________________________________________________

Name: ______________________________________  e-mail: _____________________________

Address: _____________________________________City/Zip: ____________________________  

Telephone: _______________  Fax: ______________  Cell: _____________ Spouse: ___________

_______  I am adding $ 20 for my husband to be an Associate Member /  Name: _________________
_______  I am member of another RWF, applying to be an Associate Member @ $ 20.00  
      Club Name: ______________________________________________

_______  I am applying for Associate Membership at $ 20.00

Yes, I will help with the following:
__Membership, __Ways & Means, __Programs, __Legislation, __Newsletter, __Publicity, __Americanism,
__Scholarship, __Callers __Voter Registration __VillageFest Booth