"The future does not belong to those who are content with today, apathetic toward common problems and their fellow man alike, timid and fearful in the face of bold projects and new ideas. Rather, it will belong to those who can blend passion, reason and courage in a personal commitment to the great enterprises and ideals of American society."

Get involved.....Make a difference !

Basic Membership .....$15 / Individual

Membership form:

Please print this page then fill out and mail the form below with your check for the appropriate amount to the address below. Thank You !!

Individual    ($15)  ___

___Mr. ___Mrs. ___Ms. ___(Other-_________ )

NAME _____________________________

ADDRESS__________________________

 TOWN    ___________________________

 ZIP CODE _________________________

 HOME Phone ___________________

 WORK  __________________

 FAX/OTHER      ____________________

 E-MAIL  __________________________             

 OCCUPATION _____________________

 SPECIAL INTERESTS _______________

 SKILLS____________________________

Volunteer Opportunities

 Please check areas that are of interest:

 (  )  Serve on a committee_______________

(  )  Telephoning

(  )  Computer Entry

(  )  Typing

(  )  Headquarters staff

(  )  Yard signs

(  )  Fundraising

(  )  Run for ______________political office

(  )  Poll Worker

(  )  Door to Door

(  )  Precinct/Neighborhood work

(  )  Precinct Leader

(  )  Mailings

(  )  Contact my friend__________________

  @ ______________________________

       ______________________________

(  )  Other:

Please make checks payable to :

West Wilson Republicans

PO Box 31

Mt Juliet, TN 37121-0031

Check your email address!