Membership Form

Thank you for being a member of CCRWC! Please complete the Membership Application. We will use the information to update our member database. You can submit your Membership Application by mail (USPS), email, or online.

Mail (USPS) or Email

  1. Open the Membership Application (PDF).
  2. Print and complete the form.
  3. Email the completed PDF to or mail (USPS) to:

Cobb County Republican Women’s Club
Post Office Box 4476
Marietta, GA 30061-4476


  • Simply complete the form below.

    Your Contact Information


    Membership Dues & Other Purchases


    General $50 (women only)Associate Member $40Student Membership $25

    Sponsor Newsletter $25Name Tag $12Luncheon Sponsor $125Luncheon Sponsor $225 (includes eblast banner ad)

    PayPalCheck Check # (if applicable)

    What are your areas of interest?

    Select all of the areas of interest in which you want to be involved.


    CampaignPhone BankElection DayConventionDelegateStaff GOP HeadquartersCandidate Forums

    Event PublicityNewsletterMedia Relations

    Letter WritingServe on CommitteeLobbying


    Phone BankSponsorship Solicitation


    I would like to serve on the Veterans’ Celebration Committee.I have experience writing articles and would like to serve on the Newsletter Committee.I am proficient in using Excel, Publisher, Word, etc.


    YESNO I give CCRWC permission to use my name and contact information in the CCRWC Member Directory, digital and printed versions. This information is for CCRWC member use and will not be shared by CCRWC with non-members.


    YESNO I give CCRWC permission to use my name and/or image in CCRWC publications, hard copy and digital, including but not limited to the CCRWC newsletter and website.