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Member Form

Become A Chai Republican Women

Please complete the form below and your membership payment. Please allow 7-14 days so we can process your payment (mail-in).  

Applicant Information
Please provide at least one phone number.
Social Media
What social media groups are you a member of? What is your username, ID, or handle for each group?
Committee Interests
Please tell us which committee or committees best align with your interests and talents. We welcome your participation.
Other Information
Annual Dues
If you are not already a member of an NFRW club, then Primary voting membership is for you at $50 per year. If you are already a voting member of an NFRW affiliated club and wish to remain a Primary member there, choose Associate membership at $35 per year.
Payment Instructions: Please make checks payable to CHAI REPUBLICAN WOMEN.
Mail completed application and check to:
Debbie Bodlander
6612 Glassell Court
Alexandria, VA 22310
Estimated Total Due: $0.00