Appointed County Party Grassroots Director

APPOINTED COUNTY PARTY GRASSROOTS DIRECTOR

PLEASE SUBMIT YOUR DESIGNATED COUNTY GRASSROOTS DIRECTOR AND THEIR CONTACT INFORMATION BELOW

Appointed County Party Grassroots Director

Name(Required)

First Name Last Name

Email(Required)

Mobile Phone

Address(Required)

Street Address City State ZIP Code

County(Required)

Relationship to your County Party(Required)

This field is hidden when viewing the form

Email Opt In(Required)

TRUE

This field is hidden when viewing the form

SMS Opt In(Required)

TRUE

This field is hidden when viewing the form

Volunteer(Required)

TRUE

Paid for by the California Republican Party. Not Authorized by any Candidate or Candidate’s Committee. 1001 K Street, Fourth Floor, Sacramento, CA 95814. P: 916-448-9496 | F: 916-448-9497. Federal ID# C00140590 | State ID# 810163

To Contribute via Check or Credit Card through the MAIL rather than online, download and print this form.

ABOUT

ELECTION INTEGRITY

CONVENTION

RESOURCES

By providing your cell phone or mobile phone number you are consenting to receive calls and texts, including autodialed and automated calls and texts, to that number with campaign notifications from the California Republican Party. Reply “STOP” to opt-out & “HELP” for help. View Privacy Policy for more info.

IN THE NEWS

CAREER OPPORTUNITIES

REGISTER TO VOTE