2024 MCRO Convention Signup Form FINAL
2024 MCRO Convention Signup Form FINAL
Registration form must be accompanied by a $10.00 registration fee. Deadline to register is February 25th
Registration forms/fees accepted on February 25th, 2-4 PM, at 499 Plainfield Avenue, 2nd Floor Edison, NJ
Registration Day Issues Call Rob at 908-966-1491
Questions? Contact your Municipal Chair or email us at: [email protected]
Delegate / Guest Registration Information – PLEASE PRINT CLEARLY
Note: All fields marked with an asterisk (*) are REQUIRED.
*Name (Print):
*Street Address:
*Town (Mail): *Zip Code:
*Voting Town:
*Ward/District:
*Congressional
District: Circle One: 6th, 12th
*Telephone:
*E-mail:
Delegate/Guest Status (check one)
You must be a registered Republican in Middlesex County by February 8, 2024 to vote at the convention.
Signature: