Please print this out, fill it out then send it to to address at the bottom of the page

	Republicans Abroad Norway Membership Form
How Were You Introduced to RA_______________________________________
Name__________________________			Name of Spouse__________________
Home Address_____________________________________________________
Country __________________________________________________________
Home tel:______________________		Email address:_____________________
Office Address ____________________________________________________
Office tel no _________________________ Office Fax: ___________________
Please Send Info to (Tick one) ______ Home ______ Office (mostly via email)
City and State of Last Registered Voting District __________________________
Spouse – City and State__________________________________________
I am a US Citizen _______ Yes ____________No

I Am Willing to Help Republicans Abroad With:
Membership_____	Fundraising	Special Events______
Mailings_____	Newsletters/Websites___	Voter Registration _____
State Liason ___	Public Events ________	College Liason _______

Please send this form Republicans Abroad, 3137 Elisenberg, 0207 Oslo, Norway or

By Email to chairman@republicansabroad.no

Signature_________________________________ Date________________