Republican Seniors of Minnesota

Choose Amount

Cover the fees

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 Republican Seniors of Minnesota. 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*

Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Requirement*

For the Yearly Dues (Membership) option: I am a US Citizen, live in MN and am age fifty or older.

For all donations:

I am making this donation with my own personal funds/account, not a corporate/business card or account.
I am over eighteen years old.
I am a US Citizen or lawfully admitted permanent resident (i.e., green card holder).
This donation is NOT tax-deductible, and this donation is NOT eligible for the MN PCR program.

Card Number*

Exp. Date*

CVC / CVV*

Zip*