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24310
Group Membership Application Form
Apply to be a member organization of the VTP!
Home
Membership Application
Membership Application
EM
2014-10-01T02:12:51-04:00
Organization Application
For groups to apply for VTPP membership
"
*
" indicates required fields
Group Name
*
Group Type
*
Tea Party / Patriot Group
Get Out the Vote / Elections
Issue Oriented (2nd Amendment, Property Rights, Taxpayer Group, etc)
General non-profit (501C3/C4)
Other
Group Leader #1
Name
*
First
Last
Email Address
*
Phone
*
Group Leader #2
Name
First
Last
Email
Phone
County/City Location
*
Group Website Address (if applicable)
Availability?
Yes
No
Can your leadership group commit to participate in at least 1 con-call per month, and 2 summit meetings per year?
Federal Congressional Districts Covered
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VA State Senate Districts Covered
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VA State House of Delegates Districts
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100
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Approximate # of Members on Email List (if applicable)
Aproximate # of Members at Meetings (if applicable)
How Can We Help?
What can the Federation do to assist you to grow and get better at what you do?
Other Comments?
Email
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