Group Membership Application | Virginia Tea Party

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Organization Application

For groups to apply for VATP membership

"*" indicates required fields

Group Name*

Group Type*

Tea Party / Patriot Group

Get Out the Vote / Elections

Issue Oriented (2nd Amendment, Property Rights, Taxpayer Group, etc)

General non-profit (501C3/C4)

Other

Group Leader #1

First name*

Last name*

Email*

Phone

Group Information

County/City Location*

Group Website Address (if applicable)

Can your leadership group commit to participate in at least 1 con-call per month, and 2 summit meetings per year?

Federal Congressional Districts Covered

VA State Senate Districts Covered

VA State House of Delegates Districts

Approximate # of Members on Email List (if applicable)

Aproximate # of Members at Meetings (if applicable)

How Can We Help?

Other Comments?

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