Thank you for joining the party!   Please fill out the information below and be sure to check off your donation as a monthly deduction.   Within 24 hours, you will receive a confirmation from us via email.   Please note, you can sign up to donate any dollar amount per month, but the minimum to become a member is $10 per month.

*Please remember to fill out your occupation and employer fields as denoted by an asterisk, as it is required by Federal Election Campaign Laws.

             
Visa MasterCard Discover Business Services
Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and the name of employer of individuals whose contributions exceed $200 per calendar year.
Total Donation:

$
*Your Occupation:

 

*Employer:
Membership:

By checking this box, I understand that contributions from corporations and foreign nationals are prohibited.

By checking this box, I understand I am Joining the Party and my donation will be a monthly deduction.



 
Click here to Visit to the Jefferson County Republican Party Flickr Page
 

Paid for by the Jefferson County Republican Party
P. O. Box 24843 | Louisville, KY 40224-0843 | Phone 502.584.7111 | Fax: 502.584.7118 | info@louisvillegop.com
2008 Jefferson County Republican Party. All rights reserved.