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New Member Application

NEW MEMBER APPLICATION

Collier County Republican Executive Committee Application for Precinct Committeeman/Committeewoman Four Year Term

Please be sure that your name and address exactly match your Collier County voter registration. If you move or change your name, please let us know.

NEW MEMBER APPLICATION

Free Text

Candidate Information

Voter ID:

Precinct:

First Name:

Middle Initial:

Last Name:

Name to Appear on Name Tag:

Street Address

City

State

Zip Code

Mobile Phone

Home or Work Phone

Email

Privacy Questions:

Text me.

Publish my email in directory.

Publish my phone in directory.

Date of Birth:

Registered Republican Since:

Registered Voter in Collier Since:

How did you learn about the CCREC?

Have you previously been a member of the CCREC?

Yes

No

If Yes, when?

Employment Status:

Employed

Retired

If Employed, where?

Are you interested in a leadership position?

Yes

No

The CCREC is a Volunteer Organization.

The CCREC is a Volunteer Organization.

How many hours per week can you volunteer to help Republicans win General Elections?

Please check boxes where you have talent, experience or interest in helping:

Voter Registration

Voter Outreach

Phone Banking

Door Knocking

Fundraising Events

Fundraising Small Donations

Poll Watcher/Poll Greeter

Election Integrity

Federal Govt. Relations

State Govt. Relations

County Govt. Relations

School Board Relations

Naples City Govt. Relations

Marco Island Govt. Relations

Social Media

Graphic Design

Communications

Admin Team

Environmental

Faith and Family

Medical Freedom

Other

List names of Registered Republicans who can recommend you:

Political Experience:

Other Republican Clubs or Organization Memberships:

Statement and Signature

I wish to serve on the Collier County Republican Executive Committee. I intend, to the best of my ability, to attend regular and special meetings and work to accomplish the goals and objectives of the Collier County Republican Executive Committee. Per our by-laws: Any request for absence from meetings must be submitted prior to each scheduled meeting. Any three consecutive unexcused absences shall result in dismissal from membership.

Signed By:

Date:

Thank you for applying to be a new member of the CCREC! We will get back to you as soon as possible.

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WE NEED YOUR SUPPORT

Contribute to our efforts in Collier County to keep it free and beautiful.

$20.24

CALL

239-732-0885

EMAIL

team@collier.gop

MAIL

PO Box 7367, Naples, FL 34101

JOIN THE FIGHT TO KEEP COLLIER COUNTY FREE.

GET INVOLVED →

CONTACT US

(239) 732-0885

PO Box 7367

Naples, FL 34101

team@collier.gop

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MISSION

We the members of the Collier County Republicans stand united with the Republican Party of Florida in our mission to promote the principles upon which our nation and our state were founded: freedom, liberty, personal responsibility, and accountability. We strive to elect Republican candidates with integrity who share our values.

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