Membership Application

Martin County Republican Executive Committee 


Precinct #__________             Committeeperson__________              Alternate__________

Martin County Voter Registration Date:________________________________________

Name:________________________________________________________________      Address:_____________________________________________________________

                _______________________________________________________________

Preferred Phone Number:       Home#:__________________Cell#___________________

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 Martin County 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 MCREC   1111 SE Federal Hwy Ste. 212, Stuart, FL 34994