2024Membership Application

Your Name:

Spouse's Name (if applicable):

Physical Address:

Mailing Address:

Contact Info:

OCCUPATION information is REQUIRED  by the State of Michigan.

Elected Officials & Yearly Dues:

Effective January, 2018, any Republican “Elected Official” in Leelanau County must be, or have been, a dues paying member of the LCRP each year the individual was an “Elected Official” in Leelanau County for the LCRP to endorse and support the individual in an election.

Select Memberships:

TOTAL DUES to be paid:

*if using check please include*

Payment Options:

Pay Online    - fill out  and submit the above online form and pay using the Membership Payment button below.

Check - Please make personal check payable to: L.C.R.P. (Cash or business checks cannot be accepted.) Mail to: LCRP c/o Linda Shimek  12161 S. Coleman Road, Empire, MI 49630 or bring to the next meeting. 

Membership is due 1/31.