Join the Miami Young Republicans

Miami Young Republicans

Sunday, September 5, 2010

To Join, please complete the following 2 steps

Step 1: Fill out the application form.

Step 2: Pay dues via PayPal or check. $25 Individual/ $40 Couple

You can also join at any Miami YR Event

Step 1: Application Form

Name 1:

Name 2:

Phone 1:

Cell/Work 1:

Phone 2:

Cell/Work 2:

Address:

City:

State:

Zip Code

E-mail 1:

E-mail 2:

Tell us, how did you learn about MiamiYR?

What are your interests and what would you like to see accomplished?

MiamiYR Membership Type

$25 Single Membership
$40 Couple Membership

What is your birthday? (Required by the Florida Federation of Young Republicans)

Birthday 1:

Birthday 2:

Step 2: Pay Dues $25 Individual/ $40 Couple

If you prefer to mail a check, please make it out to "Biscayne Bay Young Republicans" and send it to:
Bradley Gerber
Biscayne Bay Young Republicans Inc
7775 SW 86th St. #203
Miami, FL 33143

You can also download a PDF version of the application here.