Northwoods Republicans

www.northwoodsrepublicans.com

Membership Form

Directions: Please print out this form, fill it out, and mail it along with your membership

dues to the party treasurer of your county. Please fill out the entire form, so you can be

contacted for events, and issues important to the members of the Northwoods Republicans!

 Ashland County  Bayfield County

Name _____________________________________________

Address _____________________________________________

Email _____________________________________________

Phone ___________________ Cell______________________

 $10 Regular Membership  $25 Silver Membership

 $50 Gold Membership  $100 Platinum Membership

The Northwoods Republicans use our home “Freedom Hall” to host some great events, like an

opportunity for people to meet their candidates; we also host informational meetings and lunches

on various issues like forestry management and other issues critical to the people of Northern

Wisconsin. If you would like to help us with these functions, or get involved in other ways,

please check the box below and be sure your contact information is filled out. We have a lot

of fun and our organization is only as good as the commitment of our membership!

 I am willing to volunteer time to help, please contact me.

Ashland Co. mail to: Joe Jacob P.O. Box 674 Ashland WI 54806

Bayfield Co. mail to: Frank Kostka 63940 Sanford Rd. Ashland WI 54806

Thank you for your support!

Authorized and paid for by the Ashland and Bayfield County Republican Parties.

Joe Jacob Ashland Co. Treasurer, Frank Kostka Bayfield Co. Treasurer.