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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Password
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    Strength: Very Weak
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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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    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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    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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    Select Your Payment Gateway
    Card Holder Name
    Credit Card Number
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    Maximum 16 digits allowed.
    Please enter correct card details.
    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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