Join the Florida Whig Party | The Florida Whig Party

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Complete this Online Form to Join the Florida Whig Party

Last Name

First Name

Middle Name

Mailing Address

City

State

Zip Code

Employer

Occupation

Salutation (Mr., Mrs., Ms, Miss, Dr.)

E-Mail

Home Phone

Cell Phone

Work Phone

Country

Congressional District

Annual Membership Dues:

Membership Type

Annual Fee

Florida Whig Party Delegate

$60

FWP Student Delegate

$30

(Initials) I certify that I am a citizen of the United States of America. I am not making this contribution from the general treasury of a corporation, labor organization, or national bank. I understand that contributions to the Florida Whig Party (FWP) are not deductible as charitable contributions for federal income tax purposes. Contributions will be deposited into the FWP state committee account as permissible by law. Contributions from foreign nationals are prohibited. Federal and state law requires the FWP to make our best efforts to collect and report the name, mailing address, occupation, and name of employer for each individual. (Make all checks payable to the Florida Whig Party)