I agree with REP AMERICA's philosophy and mission, and I'd like to help REP "green up" the GOP!
Please note: Our mailing list is absolutely confidential. We don't trade it, sell it, or share it with other organizations or with any political or commercial entity.
REP America is funded exclusively by our members and Green Elephant subscribers. We receive no foundation grants and no funding from the Republican Party. Your generosity is greatly appreciated.
Please fill out the following information, print out this sheet, and mail it with your check to the address below.
Title (Mr., Ms., Mrs., Dr., the Honorable, etc)
First Name Last Name
Address
City State Zip
Phone
Email
U.S. Representative
I enclose a check made out to REP America:
$40 Individual or Family Membership
$60 Contributing Member
$100 Contributing Member
$250 Contributing Member
$25 Full-time student or Low income
I'm interested in building a REP AMERICA group in my area. Please give me a call.
Please send me extra brochures to pass on to my conservation-minded Republican friends.
I can't join REP AMERICA but I'd like to subscribe to The Green Elephant. Enclosed is my check for $25 for a year's subscription.
Environmental issues of special concern to me:
I have the following skills or contacts that might be useful to REP AMERICA:
Please double check all of your entries, then print out this form and mail it with your check to:
REP America 3200 Carlisle Blvd, Suite 228 Albuquerque, NM 87110