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.

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Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Precinct Number *

Cell Phone *

Member's Birth Month and Day

Spouses Name

Are you a registered voter?

I approve the sharing of my name and address to Republican candidates.

It is customary for Republican Clubs to provide membership lists, names and addresses only, to Republican candidates. If you wish to opt out, please click no.

Occupation (necessary for PAC Report) *

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

A Full Year Membership Runs from January 1 to December 31, 2026.

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.

New
Renewing

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. - $33.00
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: JAN 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