TTPRW Membership Form

Please take a few minutes to fill out the entire form. If you have any questions, please contact the person listed at the end of the form.

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone

Member's Birth Month and Day

Spouse's Name

Are you a registered voter?

Occupation (necessary for PAC Report)

If you are an elected Official, please write your position.

Please check your membership level. We have added a fee to cover credit card charges.

Please let us know if you are New or Renewing your membership.

If your Primary Membership is with another club, please list it below.

For your name badge, please print the name you prefer.

Checkbox Items

Primary Membership of Texas Tea Party Republican Women - $54.00
Associate Membership of Texas Tea Party Republican Women This membership type is for all men OR any woman who is a Primary Member of another TFRW-affiliated club. - $32.00
Young Affiliate of Texas Tea Party Republican Women $12 This is for teens ages 13-17 - $12.00
Magnetic Name Badge (optional) - $15.00

Total

$0.00

Payment Information

Political Advertising paid for by TxTeaPAC.

President: GAIL STANART Revised: MAR 2026

Political Contributions are NOT DEDUCTIBLE as a Charitable Contributions for Federal Income Tax Purposes. Corporate Contributions are NOT Permitted.

For More Information, Please Contact Executive VP, Sherry Farabee, (713) 409-4061