Membership Application

Martin County Republican Executive Committee 

Precinct #______     Committeeperson_____              Alternate_____

Martin County Voter Registration Date:________________________

Name:___________________________       Address:_________________________________________________________

Preferred Phone #:_______________________________

Email:______________________________    Date of Birth:__________________

Occupation:___________________________________

How long have you been a registered Republican?_________________________

How long have you lived in your precinct?__________________________

List any public office you have held__________________________________________________

Organizations with which you are or have been affiliated.____________________________________________________________________________________________________________________________________________________________

Why do you want to join the REC?____________________________________________________________________________________________________________________________________________________________________________________

Please choose on which committee(s)  you are interested in serving:

Membership_______ Volunteer_______IT/Social Media_______Fundraising______ 

Candidate Relations_________

Areas of Expertise/Experience__________________________________________________________________

I accept the responsibility of organizing my precinct, including registration, canvassing, and GOTV. 

   Applicant Signature: ________________________________     Date: ________________

Sponsor Name:____________________________  Sponsor Signature:_________________________________


Email application to office@martingop.org or mail to 1111 SE Federal Hwy Stuart, FL 34994