Ohio Federation of Republican Women
Club Membership Reporting Form

If you have more than 30 members, please submit extra forms.

Please list members alphabetically by last name

Total due per member is $15. (This is $5.00 for OFRW and $10 for NFRW). 
Additionally, there is a once a year $15 club service fee due to NFRW before March 1 (Make checks payable to OFRW).
Please be sure to include each member’s email address so they will receive updates from OFRW and NFRW.

If you have any comments or questions, please call the OFRW Office at (614) 456-2054 or email office@ohfrw.com

Dues and service fee may be sent via US Postal service to: 
OFRW, 211 South Fifth Street, Columbus, OH 43215
Or, you may submit your payment via Pay Pal:
 

Please list members
 in alphabetical order
according to last name.
Please, use your "tab" key to move to the next  input box
    
After you have completed the form, please take a second to make sure you have not made any typographical errors, and that each box contains an answer. Then,  please scroll down to the bottom and  click on "send it".  If you have any comments or questions, please call the OFRW Office at (614) 456-2054.

Using your "tab" key will move your cursor to the next box.

THANK YOU!




Date:
Payment Method (Check or Pay Pal?):
County:
Club Name:
President's Name:
President's Phone (with area code):
President's email:
Name of Person Submitting Form:
Submitting Person's Position:
Submitting Person's Address:
Submitting Person's City and Zip Code:
Submitting Person's Phone Number
 (with area code):
Submitting Person's Email address:
Enter Club Members Below:
1) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
2) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
3) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
4) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
5) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
6) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
7) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
8) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
9) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
10) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
11) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
12) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
13) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
14) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
15) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
16) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
17) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
18) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
19) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
20) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
21) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
22) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
23) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
24) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
25) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
26) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
27) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
28) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
29) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
30) New Member? (Enter 'Yes' or 'No'):
Member's Last Name:
Member's First Name
 (with middle name if given):
Member's Address:
Member's City, State and Zip Code:
Member's Phone Number
(with area code):
Member's Email Address:
If you have more members to report, please submit this completed form
 and then start a new form for the next 30 members.
 Click here  
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Treasurer Karen McTague, 211 South Fifth Street, Columbus, OH 43215
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