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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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