2008

OGLETHORPE COUNTY REPUBLICAN PARTY

MEMBERSHIP FORM

NAME: _______________________________________

ADDRESS: ____________________________________

CITY: _________________ STATE:_____ ZIP:______

Telephone#:___________      Precinct: _________________

MAKE CHECK PAYABLE TO:

OGLETHORPE COUNTY REPUBLICAN PARTY

 MAIL TO:

OGLETHORPE COUNTY REPUBLICAN PARTY

159 VERIBEST ROAD

LEXINGTON, GEORGIA 30648

MEMBERSHIPS ARE ON A CALENDAR YEAR BASIS

AND DUES ARE ONLY $10.00 PER PERSON, $20.00 PER COUPLE

If you have any questions call Steve McCannon at (706) 743-5116.