BREVARD REPUBLICAN EXECUTIVE COMMITTEE APPLICATION

We're excited you've made the decision to Join BREC!
Simple requirements: If you have been a registered Republican for at least 12 months and live in Brevard County, please complete and SUBMIT this application. Then follow the instructions on the Confirmation page.

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⬛ Application for Brevard Republican Executive Committee Membership:

Name(Required)

Name and address as shown on your Brevard Voter Registration Card

First Last

Address(Required)

Street Address City ZIP / Postal Code

Precinct Number(Required)

Voter ID Number(Required)

Email(Required)

Birthday(Required)

MM slash DD slash YYYY

Home Phone

Cell Phone(Required)

Office

Precinct Committeeman

Precinct Committeewoman

Sign Here:

AREA BELOW IS FOR OFFICE USE

 

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First Meeting Date

Second Meeting Date

Date Sworn In

Paid for by the Brevard County Republican Party. Contributions are not tax deductible. Not authorized by any candidate or candidate committee.

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Keep Brevard Conservative

• To become a member you must bring this application to and attend a Brevard Republican Party Executive Committee (BREC) general membership meeting. and meet the following requirements:
  • You must submit the application to personnel at the registration table when you arrive.
  • To be eligible must be a registered Republican for 365 days or more and a resident of Brevard County. Bring your Florida Voter registration card, and out of State proof of party affiliation (if necessary) this first meeting.
• After attending two consecutive BREC Membership meetings you will be sworn in as a member. (at conclusion of the second meeting)
• Once a member of BREC, you are eligible for election, or appointment in the case of vacancy, to the position of Precinct Committeeman or Precinct Committeewoman.