Membership Application

Women’s Republican Club of Salt Lake City, Inc. (WRC of SLC) Membership Application

Full Name:



Utah Zip:


Cell Phone:

Your Email

1. How did you learn about WRC of SLC?

2. What is your history with the Republican Party if any? (List any positions held,
including dates, appointed positions, and/or other activities of note.)

3. Are you a registered Republican?

4. Are you a member of any other Republican clubs?

Enter images below:

Dues for New Members are:           $35.00

Dues for current Members are:      $30.00

You can also pay for your monthly lunch, college students can pay $20 for their membership.

Please be sure to fill out & submit your membership application so you can get involved!

Welcome to WRC of SLC!

Get ready for a fun and meaningful adventure.
Please follow us on Twitter & Facebook for frequent updates.

Please mail completed application and dues to:  (Checks payable to WRC of SLC)

Nicole Peterson
3002 Twin Springs Court
United States

New in 2012!  Currently enrolled, registered Republican college students have a Student Rate of $20.00.

Become an Associate Member!  If you are a member of another NFRW affiliated club, you can join our club for $30.

If you are a registered Republican male, YOU too can be an associate member!

Membership application: easy!