GREATER DALLAS REPUBLICANS MEMBERSHIP APPLICATION 2010/2011 The Party of Lincoln “Life, liberty, and the pursuit of happiness" is one of the most famous phrases in the United States Declaration of Independence. These three aspects are listed among the "inalienable rights" of man. This is your invitation to make a difference and to become involved in the political system that is the cornerstone of our American Democracy. Please return this form today telling us of your interest. Or log onto our web site for more information. www.greaterdallasrepublicans.org $25.00 General Membership ______ Optional additional Contribution ______ $10.00 Student Membership (High School & College Students up to 25 years old) ______ Please make checks payable to GDR NAME_______________________________________________________________________ ADDRESS___________________________________________________________________ CITY_______________________________________________ ZIP___________ HOME #___________________________________OFFICE#_________________________ CELL#___________________________________FAX_____________________________ EMAIL____________________________________________________________________ YOUR PRECINCT _____________________________ (PLEASE PRINT) Would you like to serve in leadership roles? ____ Candidate Review Board _____Membership ______Media Relations ____Finance/Fund raising ___ Precinct Organization ___GOP Liaison ____Web site ____Special Event Planning _____Programs/Public Relations ________Newsletter/Community Outreach Please mail to: Greater Dallas Republicans Membership PO Box 117556 Carrollton, TX 75011-7556