Patron Application

Thank you for supporting Golden Corridor Republican Women (GCRW). Your donation helps support our efforts.

$500.00

  • Meeting Slide Show, Website, Newsletter, Directory
  • Membership for Patron and two additional memberships

$200.00

  • Website, Newsletter, Directory
  • Membership for Patron and one additional membership

$150.00

  • Website and Directory
  • Membership for Patron and one additional membership

$100.00

  • Website and Directory
  • Membership for Patron and one additional membership
DOWNLOAD PATRON APPLICATION

Patron Application

Status(Required)
Type(Required)
If you need to change any information for the GCRW directory, please make those changes in Section 2 – Patron Information and complete the Important Notice and Consent to Publish in that section.
AFFIRM(Required)

SECTION 2 - PATRON INFORMATION

Patron Name
Address
Email
Can we add you to the GCRW email list?
Is this your
Name #1
Address
Email
Name #2
Address
Email
IMPORTANT NOTICE AND CONSENT TO PUBLISH:
GCRW publishes an annual directory that is distributed to all members. The directory may include all the Patron Information in Section 2. Do you give GCRW permission to publish your information?
If you stated “NO” to the Important Notice and Consent to Publish, please specify what you do not consent to publication and if applicable, provide alternative information (address, email, phone, etc.) below:
Max. file size: 32 MB.

SECTION 2 - PAYMENT

Confirmation(Required)

Presenting excellent
programs to inform
and educate our members.

Why should you join Golden Corridor Republican Women?

To address the important issues of the day regarding women, families, and education.

To keep members informed on critical issues and strengthen the conservative voice within the Republican Party.

To help support and elect Republican candidates.

To come together as grassroots activists to have an impact on our government on every level.

JOIN GCRW

THANKS TO OUR DIAMOND PATRONS FOR THEIR SUPPORT!

BECOME A PATRON

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