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Grays Harbor Republican Party

Washington State

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Please print out and mail to the address in the center of this page, Thanks for joining us!

2007 MEMBERSHIP FORM

I WISH TO JOIN AS

SUSTAINING MEMBER $15_______

FAMILY MEMBERSHIP $20_______

HALF CENTURY $50_______

CENTURY MEMBER $100______

ELEPHANT MEMBER $500______

MATRIARCH $1000_____

MAKE CHECKS PAYABLE TO:

GHGOP

MAIL TO:

P O BOX 368

Grayland, WA 98547

Please give us the following information with your membership monies-

NAME_____________________________________________________________

ADDRESS__________________________________________________________

CITY______________________ZIP_____________

FOR NEWSLETTER ONLY---NO DONATION

______I HAVE ENCLOSED $10 TO HELP COVER THE COST OF THE GRAYS HARBOR REPUBLICAN NEWS LETTER. Mailed monthly with news and calendar.

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HERE IS MY EMAIL ADDRESS _____________________________________ I can get the newsletter sent to this address for FREE!