Ingham County Republican 300 Club
Membership Application Form


You are invited to be a member of the Ingham County Republican 300 Club.

With your membership dues of $300, you will receive invitations to no fewer than four events in 2004. Last year the events included a dinner and reception with our new Attorney General Mike Cox, and private receptions with Speaker of the Michigan House Rick Johnson, Senate Majority Leader Ken Sikkema and Congressman Mike Rogers.

Proceeds from the 300 Club will help insure the voters of Ingham County have a choice at the polls. In addition to all five county wide races and 16 commissioner seats up this fall, Ingham county will be a critical county for the Republican party in Michigan as we hope to deliver our 17 electoral votes to re-elect President George W. Bush.

Please complete this form; print it and mail check payable to Ingham County Republicans to:

Ingham County Republicans
PO Box 27512
Lansing, MI  48909

Name:  
Address:
City:   State:   Zip:  
Phone: Email:      
Occupation: Employer:

16 digit (Visa or Master Card #):
Exp. Date (month–day-year):
Amount authorized: (Entering greater amount is welcomed!)

If you are unable to join the 300 Club at this time but would like to make a donation to the Ingham County Republican Party, enter that amount here: 

I'd also like to help with the following:

Re-elect Bush in 2004 Candidate Open House for Your Neighbors/ Friends

Insuring friends are registered to vote.

 Identifying Republican Supporters

Writing Letters to Editor

 Help Raise Candidate Funds

Offer (or find) Yard Sign Location(s)

 Make Calls to Voter List

Type in a friend's name/email we could contact:


Thank you for your support!

Paid for by the Ingham County Republican Committee with regulated funds.
P.O. Box 27512, Lansing, MI 48909