Membership
ORLANDO WOMEN’S REPUBLICAN CLUB, FEDERATED
THE OLDEST, THE BOLDEST, THE BEST…
is re-energizing NOW!
Last Name _____________ First Name _______________
Address________________________________________
City ____________ State ______ Zip_________________
H- Phone _____________ Work Phone _______________
E – Mail _______________________________________
Type of Membership (check one)
____ Regular Member ($25.00 per year with voting rights
____ Associate Member – Women who are members of another Federated Club in the FFRW. Name the other club __________________($15.00 per year – no voting rights)
____ Associate Member – Men ($15.00 per year – no voting rights)
Sponsorship Member – Includes 1 year of active or associate membership
_____Platinum Eagle $200.00+ _____Gold Eagle $101.00-$200
_____Silver Eagle $51.00-$100.00 _____Bronze Eagle $50.00
Payment by _____ Check _____ Cash This membership is for _____ New _____ Renewal
I AM INTERESTED IN SERVING IN THE FOLLOWING WAY____________________
BY SIGNING THIS APPLICATION, I CERTIFY THAT I AM A REGISTERED REPUBLICAN
Signature _______________________________ Date _____________________
RETURN YOUR APPLICATION AND CHECK PAYABLE TO OWRCF
Lisa Bullion
4727 Raymar Drive
Orlando, Florida 32839
H-407-240-3284
LisaBullion@att.net
Membership includes
