See Below for selections

E-Mail Address:

                                              

                            First Name:
                                   Middle:
                             Last Name:
                                 Address:
                                        City:
                                       State:
                                          Zip:

                                                area code     number
                          Home Phone:()-
                          Office Phone:()-
                                        Fax:()-
                                  Cellular:()-
                                   Beeper:()-
                                                

I am interested in the '99 Lincoln Day Dinner
with New York Mayor Rudy Giuliani
Contact me about Mayor Giuliani / Lincoln Day Dinner Tickets
Contact me about the private reception with Mayor Giuliani
Contact me about advertising in the Lincoln day Dinner Program
Contact me about a gift donation for the Silent Auction
Contact me about a bid in the Silent Auction

Republican Party Information
I am interested in becoming a member of the Republican Committee
I will help at rally's and campaign events
I will volunteer for the phone committee
I will volunteer time at the Republican Headquarters
I will help organize my neighborhood

I have a desire to run for elective office
Contact me about candidate opportunities

I want to be involved in a political campaign
Contact me about republican campaigns needing help

Send me information about a Republican Club
(See Republican Club Page for more information)

Republican Clubs
Beach Republican Club Elephant Forum
Homestead-Redlands Republican Club   North Dade Republican Club
Puerto Rican-American Republican Club Republican Liberty Caucus
Republican National Hispanic Assembly South Dade Republican Club
Republican Woman's Clubs
Coconut Grove Rep. Woman's Club Key Biscayne Rep. Woman's Club
Old Cutler Rep. Woman's Club
College Republican Clubs
FIU College Republicans
University of Miami College Republicans
Contact me about starting a Republican Club at my College/University
Teenage Republican Clubs
Teenage Republican Club
Contact me about starting a Teenage Republican Club at my School
Young Republican Clubs
Biscayne Bay Young Republicans
Contact me about starting a Young Republican Club in my Area