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Membership Application/Renewal Form
Date _____________ Are you an existing CTRA member? _________ Yes _________ No
Name ____________________________________________________________________
Spouse's Name ___________________________________________________________
Street Address ____________________________________________________________
City ________________________________________________ Zip __________________
Phone ____________________________ Work/cell ______________________________
Email ____________________________________________________________________
Type of Work or Business ____________________________________________________
Precinct: ______________ TX Senatorial Dist: _____________ TX Rep Dist: __________
Congressional Dist _____________ SBOE Dist: ______________ If you are having trouble
remembering the districts you live in, you may look them up at www.fyi.legis.state.tx.us
Did you vote in the most recent Republican Primary in Texas (Yes/No) ________________
List All Republican Primaries you have voted in? __________________________________
List Past / other Republican groups______________________________________________
__________________________________________________________________________
Who referred you to this group? ________________________________________________
Political areas of interest ______________________________________________________
____________________________________________________________________
Check Committees you would be interested in joining:
___ Membership ___ Communications / Publicity
___ Campaign Activities ___ Legislative
___ Endorsement Committee ___ Judicial Local
___ Programs / Special Events ___ Ways and Means
___ Hospitality ___ Other
____________________________________________________________________
Do you agree with the Beliefs, Principles, and Objectives listed in the CTRA
Membership Brochure? Please check one: ___Yes ___ No
Membership dues:
Full Member $15 per year
Couples $25 per year
Please make checks payable to CTRA and mail to:
CTRA
P.O. Box 2973
Pflugerville, TX 78691
Date _____________ Are you an existing CTRA member? _________ Yes _________ No
Name ____________________________________________________________________
Spouse's Name ___________________________________________________________
Street Address ____________________________________________________________
City ________________________________________________ Zip __________________
Phone ____________________________ Work/cell ______________________________
Email ____________________________________________________________________
Type of Work or Business ____________________________________________________
Precinct: ______________ TX Senatorial Dist: _____________ TX Rep Dist: __________
Congressional Dist _____________ SBOE Dist: ______________ If you are having trouble
remembering the districts you live in, you may look them up at www.fyi.legis.state.tx.us
Did you vote in the most recent Republican Primary in Texas (Yes/No) ________________
List All Republican Primaries you have voted in? __________________________________
List Past / other Republican groups______________________________________________
__________________________________________________________________________
Who referred you to this group? ________________________________________________
Political areas of interest ______________________________________________________
____________________________________________________________________
Check Committees you would be interested in joining:
___ Membership ___ Communications / Publicity
___ Campaign Activities ___ Legislative
___ Endorsement Committee ___ Judicial Local
___ Programs / Special Events ___ Ways and Means
___ Hospitality ___ Other
____________________________________________________________________
Do you agree with the Beliefs, Principles, and Objectives listed in the CTRA
Membership Brochure? Please check one: ___Yes ___ No
Membership dues:
Full Member $15 per year
Couples $25 per year
Please make checks payable to CTRA and mail to:
CTRA
P.O. Box 2973
Pflugerville, TX 78691