Membership Application/Renewal Form
Download Application
Date ________ Are you an existing CTRA member? ____Yes ____No
Name ______________________________________________
Spouse's Name ________________________________________
Street Address ________________________________________
City ____________________________________Zip _________
Phone _____________ Work/cell ______________
Email _______________________________________________
Type of Work or Business _________________________________
Precinct: _______ TX Senatorial Dist: ______ TX Rep Dist: ______
Congressional Dist _______ SBOE Dist: _______
If you are having trouble remembering the districts you live in, you may look them up at www.fyi.legis.state.tx.us
Did you vote in the most recent Republican Primary in Texas (Yes/No) ______
List All Republican Primaries you have voted in? __________________________________
List Past / other Republican groups____________________________________________
_____________________________________________________________________
Who referred you to this group? ______________________________________________
Political areas of interest ___________________________________________________
Check Committees you would be interested in joining:
___ Membership ___ Communications / Publicity
___ Campaign Activities ___ Legislative
___ Endorsement Committee ___ Judicial Local
___ Programs / Special Events ___ Ways and Means
___ Hospitality ___ Other
Do you agree with the Beliefs, Principles, and Objectives listed in the CTRA
Membership Brochure? Please check one: ___Yes ___ No
Membership dues:
Full Member $15 per year
Couples $25 per year
Please make checks payable to CTRA and mail to:
CTRA
P.O. Box 2973
Pflugerville, TX 78691