GET OUT TO VOTE!! Primary – August 23rd, 2022 / General Election – November 8th, 2022

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01. Membership Level

Single ($40/Year) Couple ($65/Year - Must live at same address)

02. Member #1 Name

03. Member #1 Phone #

04. Member #1 Address

05. Member #1 Complete City, ST and Zip

06. District/Precinct #

07. Member #1 Email

08. Political Party

09. How Long?

If you have recently moved into the are within the last year.

10. Previous Address

11. Previous Complete City, ST and Zip

12. Previous District/Precinct #

13. Member #2 Name

14. Member #2 Phone #

15. Member #2 Email

16. Political Party

17. How Long?

18. How did you hear about the Trump Club?

Select ALL that apply by holding the SHIFT key down

19. Are you interested in the following?

20. Did you vote for President Trump?

21. Why do you want to become a member of the Trump Club of SJC?

List two (2) references - Current Trump Club Members, Local Elected Officials or Other Republicans.

22. Reference #1

23. Ref #1 Phone #

24. Ref #1 Email

25. Reference #2

26. Ref #2 Phone #

27. Ref #2 Email

By signing below, I/we accept and agree to the terms of attendance as stated and request to receive email correspondence. Trump Club of SJC reserves the right to refuse or cancel any membership, if deemed necessary, for the good of the organization. No Recording Devices are to be used at Trump Club Meetings without the express written permission from the Trump Club SJC Board of Directors. If you posed for our staff photographers and provided your name, you may email us for a copy. Use of the Trump Club of SJC name and logo are expressly prohibited except as approved in writing by its Board of Directors.

28. Applicant #1 Signature

29. Applicant #2 Signature

Once your application is reviewed, you will be notified by email how to pay your dues.

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What voters need to know about President Trump Club