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Angry? Don’t be… Anger is a waste. Take action and look to the future. Make a difference. Get involved with the Plumstead GOP Club.

NOTE: If you do NOT want to join but have other questions, please CLICK HERE TO CONTACT US.

PGOP Club Membership Application

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Name
Enter YOUR legal name
Enter the Name that you prefer to be called, IF any
Where do you reside?
Select ONE of these.
Enter your eMail Address
Enter your Mobile phone number. We require MOBILE phone numbers so that you can be easily reached. If you do NOT have a mobile phone, enter 999-999-9999 and you will be prompted to provide a valid alternative phone number. We do NOT use, sell, or distribute your MOBILE phone number for any purpose other than to conduct the business of the Club. We limit the use of texting.
If you did not provide a valid Mobile Phone Number, we require you to provide a valid alternative number so that you can be reached when necessary. Otherwise, this field is optional. NOTE: A failure to provide a valid MOBILE or Alternate Phone Number will prevent us from processing your application for membership.
Enter the House Number where you reside
Enter the Street where you reside
Enter the Apartment or Unit Number, IF any
Enter the 2 Character abbreviation for the STATE
Enter the City in which you reside
Enter the 5-digit ZipCode of your residence.

Acknowledgement & Certification

I am submitting this Application for Membership in the Plumstead GOP Club. I certify that I am a registered Republican voter who resides in the geographical area in which the Club has jurisdiction or that I reside outside of the area but want to become a Member. I understand that by submitting this Application, I agree to be bound by the rules of the Club, grant permission for my email and personal information to be added to the Club's database and roster, and grant permission for it to be used for the lawful purposes of the Club. I further agree that my participation in any club activity or related activities explicitly gives the Club and its designees the unlimited, non-exclusive right to use my likeness in any photograph, video, recording or other media for any lawful purpose without restriction and without any compensation or further release. I hereby waive all rights and claims to any such material. I certify that to the best of my knowledge that my answers are accurate and truthful.

Form Submission

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