SUSSEX COUNTY REPUBLICAN COMMITTEE EDC
RDC / EDC (please circle one)
APPLICATION FORM
(PLEASE PRINT ALL FIELDS EXCEPT SIGNATURE)
RD: ED: APPLICATION DATE:
NAME:
ADDRESS:
CITY:ZIP:
PHONE: Home: Cell:
EMAIL:
SIGNATURE:
By signing above, I acknowledge that I have read, understand and accept the
Rules of the Sussex County Republican Committee as approved on 6/16/16 prior to submitting this application.
Please complete all fields of this application and submit via one of the following:
Email to Sussex County Republican Committee Secretary: lindalou358@hotmail.com
OR
Deliver in person to the Sussex County Republican Committee Secretary at next SCRC meeting.