Henrico County Republican Committee Official Prefiling Form for Committee Membership ~ Due by 5:00 p.m. on Monday, April 11, 2022

* Denotes required information.
Are You a New or Returning Member? *
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We use your 9-digit voter registration number to confirm your voter registration status.  You may retrieve your voter registration number through the Virginia Citizen Portal on the Department of Elections website, by clicking here.  It also appears on your voter registration card.
    Dues and Other Information
 
By signing below, you hereby agree as follows:

Dues payment required:  $30 committee dues are due and payable with this submission.  You will be taken to the dues payment page after submission of this form.  If you pay by check, please make checks payable to the Henrico County Republican Committee and mail them to: Henrico County Republican Committee, PO Box 2424, Glen Allen, VA 23058.  Dues must be received by 5:00 p.m. on Monday, April 11, 2022.

Email authorization: Please send all communications, including meeting notices and meeting calls, to me at my address above. I do not wish to receive paper communications.

Required Republican Membership Pledge
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