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I am registered to vote in (State and Town)

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I Am Registered to Vote As I Am Registered to Vote As Republican Undeclared Other (Explain >)

Membership Type Membership Type Full Associate

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CERTIFICATION: The information provided on this application is true and correct. I support the ideals and principles of the Republican Party, wish to take an active role in promoting and supporting the activities of the Winnipesaukee Republican Committee, and agree to follow the rules and procedures adopted by the Committee. CERTIFICATION: The information provided on this application is true and correct. I support the ideals and principles of the Republican Party, wish to take an active role in promoting and supporting the activities of the Winnipesaukee Republican Committee, and agree to follow the rules and procedures adopted by the Committee. I AGREE