2026 – 2028 Membership

Fairfax GOP Membership Registration. Online payments only — to pay by check, mail your application with a check made out to "FCRC."

Your Information

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Prefix

*LEGAL First Name

*LEGAL Last Name

Suffix

*Email Address

*Mailing Address

*City

*State

*Postal Code (5 digits only)

Voting District (Optional)

Voting Precinct (Optional)

At least one phone number is required

Cell Phone

Home Phone

Work Phone

Work Extension

I am Retired

*Employer

*Occupation

*Location of Employer

*Choose the funding source that applies to you

I confirm the following statements are true: By submitting this form, I pledge to support all Republican nominees in all elections through completion of this membership period. As a Voting Member, I understand it will be my responsibility to attend scheduled County Committee meetings; should I miss three consecutive meetings I will become a non-voting Associate Member of the FCRC. My duties as a member of the County Committee include actively working in my precinct, identifying Republican voters, and encouraging them to "get out the vote."

Membership at

Fairfax GOP

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$ 104 .23

I'd like to cover the processing fee so 100% of my membership reaches Fairfax GOP.

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Contributions are not deductible for federal income tax purposes. Federal and State laws require us to use our best efforts to collect and report the name, address, occupation, employer and location of employer of all contributors. Contributions received through this form will be deposited into our Federal Account and are subject to federal requirements and limits unless you have selected NOT-FEDERALLY PERMISSIBLE above.

2026 – 2028 Membership

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