Membership Application Form

Please fill out the Membership Application Form and mail it to PO Box 1564 Bakersfield, CA 93302

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Are you registered to vote as a Republican?
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*If you are unsure of your voter status, go to https://voterstatus.sos.ca.gov/
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Username
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First Name
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Last Name
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Email Address
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Password
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    Strength: Very Weak
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    Select your District Supervisor
    Mick Gleason - District 1Zack Scrivner - District 2Mike Maggard - District 3David Couch - District 4Leticia Perez - District 5
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    If you do not know your District Supervisor go to https://www.kerncounty.com/bos/YourSupervisor/
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    State
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    Zip Code
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    Birthday
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    New MembershipMembership Renewal
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    Please indicate area(s) in which you have an interest or experience
    Campaign ActivitiesCaring for AmericaCommunity Outreach / ServiceFundraisingHospitalityLegislationLiteracyMembership PromotionPublicity / MediaSocial MediaSupporting our TroopsI can help wherever I am neededI cannot help in any of these areas
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    Special Talents (graphic design, database, editing, writing, campaigning, website management, etc.)
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