Grant County Republican Party

Print the page below, fill out and mail with your contribution to:

Grant County GOP
PMB 265, 601 S. Pioneer Way, Suite F
Moses Lake, WA 98837

Thank you for your contribution!

Name: _____________________________________________________________
Address: ___________________________________________________________
Email: _____________________________________________________________
Home Phone #: _______________________ Cell: __________________________
Contribution Amount: $________________
Employer: __________________________
Employer City & State: __________________________
Occupation: __________________________

I would like to volunteer in the following areas:

Serve as a PCO
Help in campaigns
Make phone calls
Send emails
Knock on doors
Vet candidates
Help plan events
Serve on a committee
Simply volunteer
Other: _____________________________________________

Paid for and authorized by the Grant County Republican Party
PMB 265, 601 S. Pioneer Way, Suite F, Moses Lake, WA 98837
Not authorized by any candidate or candidate committee