BRWF Renewal

BRWF Membership Renewal Form
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Are you Renewing your BRWF Membership?
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Have you checked to make sure you are registered to vote as a Republican recently?
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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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Cell Phone
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Home Phone
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Select your District Supervisor
Phillip Peters - 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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Address
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City
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State
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Zip Code
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Birthday
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Anniversary
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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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Please tell us about any issues that concern you
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Enter Your Credit Card Information Below
Card Holder Name
Credit Card Number
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Maximum 16 digits allowed.
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Expiration Month
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Expiration Year
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CVV Code
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How you want to pay?
Payment Summary

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