Scribd Logo
Upload

Welcome to Scribd!

  • 33 views

    ILRNHA Application

    Uploaded by

    Winnebago County Republicans
    The document is a membership application form for the Republican National Hispanic Assembly of Illinois. It requests basic contact information from applicants such as name, address, phone numbers, and email. It also asks for prior political offices held and which congressional and state legislative districts the applicant resides in. Applicants are informed that the bi-annual membership dues are $30 total, with $15 for national dues and $15 for state dues.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content

    You might also like

    ILRNHA Application

    Uploaded by

    Winnebago County Republicans
    33 views1 page
    The document is a membership application form for the Republican National Hispanic Assembly of Illinois. It requests basic contact information from applicants such as name, address, phone numbers, and email. It also asks for prior political offices held and which congressional and state legislative districts the applicant resides in. Applicants are informed that the bi-annual membership dues are $30 total, with $15 for national dues and $15 for state dues.

    Original Description:

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document is a membership application form for the Republican National Hispanic Assembly of Illinois. It requests basic contact information from applicants such as name, address, phone numbers, and email. It also asks for prior political offices held and which congressional and state legislative districts the applicant resides in. Applicants are informed that the bi-annual membership dues are $30 total, with $15 for national dues and $15 for state dues.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    33 views1 page

    ILRNHA Application

    Uploaded by

    Winnebago County Republicans
    The document is a membership application form for the Republican National Hispanic Assembly of Illinois. It requests basic contact information from applicants such as name, address, phone numbers, and email. It also asks for prior political offices held and which congressional and state legislative districts the applicant resides in. Applicants are informed that the bi-annual membership dues are $30 total, with $15 for national dues and $15 for state dues.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Republican National Hispanic Assembly

    of Illinois

    Membership Application Form

    Date:

    Name:

    Address:

    City: Zip Code:

    County: Township:

    Home: Business:

    Cell: Fax:

    E-mail:

    Political office held, if any: _________________________________________

    U.S. Congressional District:

    State Senate District:

    State Assembly District:

    Signature:

    Bi-Annual Membership Dues

    National Dues $15


    State Dues $15
    Total $30

    Please make your checks payable to: RNHA


    Mail your check and this application to:
    RNHA c/o Rafael Rivadeneira
    1415 W. 22nd St., Tower Floor
    Oak Brook, IL 60523

    You might also like