Membership Application

Welcome to Brew City Urban Republican Women Club!  The dues of $40.00 per year (check or money order) covers membership in the BCURW, the Wisconsin Federation of Republican Women (WFRW), and the National Federation of Republican Women (NFRW).  There is also an associate member option for $30.00 per year.  Associate membership is open to women who have their primary membership somewhere else, as well as men. To be an associate member you must have a primary membership at another Republican Women’s Club. 

Mail to:  Cindy Werner at 8809 W. Tripoli Ave, Milwaukee, WI 53228.

Date of application:  __________________________

New Member or Renewal? – Please circle one

New Member


Name Badge: Order a BCURW Name Badge for an additional $10.00?

  • Name for Badge: _________________________________________________  
  • Mailing Address:  ________________________________________________
  • Email:   ___________________________________________________
  • Primary Phone:     ________________________________________________
  • Voting Precinct Number:   ________________
  • Join the fun on the following committees:

Please check any that interest you.

  •  Campaign activities
  •  Membership Outreach
  •  Fundraising
  •  Phone/Email – Follow-up correspondence with members and potential members
  •  Special Skills? – Please write any special skills in the box below you may possess that could help the club (examples: Data entry, graphic design, flyers, invitations, power point, etc.
  • Total Amount Due: