Affiliate Application

Instructions

Select Your Option(s)

Affiliates $325 Annually

2023 Affiliate Dues
Month	Local	GAR	Subtotal	RPAC*	Total
January	$225.00	$100.00	$358.00	$25.00	$383.00
February	$206.25	$91.67	$326.33	$25.00	$351.33
March	$187.50	$83.33	$296.83	$25.00	$321.83
April	$168.50	$75.00	$267.00	$25.00	$292.00
May	$150.00	$66.67	$237.33	$25.00	$262.33
June	$131.25	$58.33	$207.67	$25.00	$232.67
July	$112.50	$50.00	$178.00	$25.00	$203.00
August	$93.75	$41.67	$148.33	$25.00	$173.00
September	$75.00	$33.33	$118.67	$25.00	$143.67
October	$56.25	$25.00	$89.00	$25.00	$114.00
November	$37.50	$16.67	$59.33	$25.00	$84.33
December	$18.75	$8.33	$29.67	$25.00	$54.67

Secondary Affiliates $225 Annually

Affiliate Office

Secondary Affiliate Office

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameOffice Name

Please select a valid membership option and fee item if exist

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