JFHS Teenage Republicans
Sponsors: Mr. Ryan Brown
Mrs. Imogene Morris
We meet during A-club period in Room 3040C.
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Bedford County
Delegate Pre-File Form
Print
Full Legal Name ________________________________________________________
Registered
Voting Address_____________________________________________________
City
_______________________________________ Virginia, Zip Code ________________
Voting
Precinct______________________________________________________________
Phone
_____________________ E-mail __________________________________________
Occupation____________________________Employer______________________________
I
am a legally qualified voter in Bedford County and I hereby state my intent to
support all of the Nominees of the Republican Party and wish to: (check all
that apply)
______Be a Delegate
to the Republican Party of Virginia State Convention at the Roanoke Civic
Center on June 7, 2014. ($35.00 voluntary fee requested-Make check payable to
Republican Party of Virginia) Voluntary
fee paid $__________________________
______Be a Delegate
to the 5th Congressional District GOP Convention at Hampton-Sydney
College on May 17, 2014. ($25.00 voluntary fee requested-Make check payable to 5th
District Republican Committee) Voluntary fee paid $_________________________
_____Be a Delegate to
the 6th Congressional District GOP Convention at Lord Botetourt High
School on April 26, 2014. ($20.00 voluntary fee requested-Make check payable to
Sixth Congressional District Republican Committee) Voluntary fee paid $_________________
Total
amount enclosed for all applicable fees.
$________________________
Signature
_________________________________________________ Date_____________
Republican
Party Republican Party of Bedford Chairman, Unit committee membership and
District and State convention Delegates will be elected at the biennial Mass
Meeting held 7:00 PM March 20, 2014 at the Bedford Town Council Chambers at the
Town Municipal Building, 215 E. Main St., Bedford, VA 24523. All forms and fees should be returned
to Secretary Gayle Thomasson, 3915 Thomasson Mill Rd., Goodview, Va. 24095 by
5:00 PM on March 15, 2014. For more information contact Nate Boyer
434-546-3340.
Note: Attendance at the Mass Meeting is not
required to be elected, if you have pre-filed and do not wish to attend the
Mass Meeting.
Paid for and authorized by the Republican
Party of Bedford Unit Committee. Nathan M. Boyer, Chairman.