Bedford Republican Committee Dues

Dues are $25 per person. Please indicate whether you would like to be included on our mailing list by checking the box below. If you are paying for a second person, please enter their name and email address in the space provided.

Choose Amount

Add $1.35 to cover the fees

Final fees may be lower than shown.

Email*

Send me updates by email(not needed for receipts)

Phone*

Send me updates by text*

* By providing your phone number, you are consenting to receive text message updates, including automated text messages, to that number from Bedford Republican Committee. Message & Data rates may apply, and message frequency may vary over time. Reply "STOP" to opt out of these text message updates.

First name*

Last name*

Title

Residential Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Are you currently employed?*

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Employer Name*

Occupation*

Employer Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

May We Add You To Our Mailing List?

Additional Name/Email

Card Number*

Exp. Date*

CVC / CVV*

Zip*