Join Magic Circle Republican Women!

Become a Member of Magic Circle Republican Women - 2026

If you have any questions, please contact our 2nd Vice President of Membership, Pam Burg, at pamburg12@gmail.com.

Cover the fees

Email*

Phone*

First name*

Last name*

Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Are you currently employed?*

YesNo

Employer Name

Occupation*

Do you want your contact information to be published in the annual directory?*

YesNo

Would you like to buy a magnetic name badge?*

YesNo

Badges are $10 and are payable by cash only. Payment and pickup of badges will be available at the next meeting.

Card Number*

Exp. Date*

CVC / CVV*

Zip*