Sign up to Stay in Touch!

State Committeemen Nominations Form

Thank you for considering a run for State Committeeman. Please complete the application below.

*Why I would like to serve as State Committeeman?

Error

* How long have you been a Republican?

Error

* First name

Error

* Last name

Error

* Email

Error

* Phone number

Error

* Precinct

Error

* Voter ID

Error

* Mandatory ALL Day Meeting. Can you cover duties?

Error

By submitting this form, you are consenting to receive marketing emails from AZ LD4. You can revoke your consent to receive emails at any time by using the Safe Unsubscribe® link, found at the bottom of every email.

AZ LD4 | 13835 N Tatum BLVD PMB 9-436 | Phoenix, AZ 85032 US

Constant Contact Data Notice