Personal Membership Questionnaire Legal Name * First Name Last Name Preferred Name First Name Last Name Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Business Name Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Cell Phone (###) ### #### Work/Home Phone (###) ### #### What is your preferred daytime phone number Cell Phone Home/Work Phone Texting Check this box to opt-in for text messages Email Linked In Account http:// Facebook Account http:// What are you preferred methods of communication? Phone Call Text Message Email Post Mail Social Media What are your reasons for joining the Idaho Majority Club? I am connected to a founding member I believe in your statement of principles I am seeking political networking opportunities I wish to learn more about politics and business issues I am seeking more opportunities to be politically active I wish to support endorsed candidates and initiatives How did you learn about the Idaho Majority Club? I know a member I found you on Social Media I found your website Members that will "sponser" your membership application * Two current members in good standing required for membership nomination Are you an elected official? Yes No If you answered "Yes" please provide your elected position Are you affiliated with an active campaign in Idaho? (manager, treasurer, etc.) Yes No What is your political party affiliation? Membership Level Request Student $250 Associate $500 Associate + Spouse $750 Candidate/Government Employee $750 Member $1,500 Member + Spouse $2,000 Silver $3,000 Gold $5,000 Platinum $10,000 Business Silver $15,000 Business Gold $20,000 Business Platinum $25,000 Spouse Name Optional First Name Last Name Spouse Email Optional Thank you! Thank you for applying to become an IMC Member! After submitting your application, you will be redirected to the payment portal.Important: Memberships are subject to approval. If your application is not accepted, a full refund will be issued.
