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Botetourt County Republican Committee

Official Filing Form

I am filing for:

_____ Botetourt County Republican Committee Chair

_____ Member of the Botetourt County Republican Committee (The required $50.00 fee for the 2-Year Botetourt County Republican Committee membership is attached.)

_____ June 15, 2020 Botetourt Co. Drive-thru Mass Meeting, Read Mtn Middle School, Cloverdale

_____ July 11, 2020 Sixth Congressional District Convention, Thomas Road Baptist Church, Lynchburg ($20 voluntary fee is attached.)

_____ Unknown date 2020 Quadrennial State Convention, Richmond Convention Center ($35 “voluntary” fee is attached. To participate in voting for State Party Chair, National Delegates, National Committee Members, Presidential Electors and any other votes brought before the state convention, the $35 fee must be paid. If you choose not to pay the $35 fee, you are only eligible to vote in the Presidential Preference Poll.)

I, ___________________________________________________, do hereby declare that I seek to be elected to the Republican Party office(s) noted above. I certify that I am a qualified and registered voter, reside in Botetourt County. I am in accord with the principles of the Republican Party, have not publicly supported non-Republican candidates in any public election for the past 4 years and intend to support all the Republican nominees in the next General Election that will be held on November 3, 2020.

Name: ______________________________________________________________________________

Residence Address: ____________________________________________________________________

____________________________________________________________________________________

Mailing Address, if different: ____________________________________________________________

____________________________________________________________________________________

Voting Precinct: ______________________________________________________________________

Email address: ________________________________________________________________________

Telephone Number: ___________________________________________________________________

____Check if you do not wish to have your email or phone number shared with Republican candidates.

Signature: _____________________________________________________________________

Make all checks payable to the Botetourt County Republican Committee.

Filing forms must be received by 5:00 PM on Wednesday, June 10, 2020. Postmarks do not govern.

Forms should be delivered to PO Box 702, Daleville, VA 24083 or mtgperson@.

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