If you're interested in joining the Shelby County Young Republicans, please fill out our information form below.

If you are age 18-40, you can join as a regular member.  If you are over 40, or under 18, you may join as an associate member. Dues are $20/yr. ($30/couple)  Members of a College Republican chapter may join at the reduced rate of $10/yr.

You can now pay your dues online or you can send us a check.  You'll be able to select a payment option after filling out this form.
 
 
I am:
A new member
Renewing my membership

Updating my information
Name E-mail
Date of Birth 19
Address    
City (TN) Zip Code:
Home Phone: Cell phone:
Work Phone    
Employer Position/
Occupation
 
Are you:   Single       Married        Divorced        Widowed
Please sign my spouse up for membership at the reduced rate:
Spouse's name Spouse's E-mail
Spouse's Work Phone Spouse's Cell phone
Spouse's Employer Spouse's Position/
Occupation
I am interested in participating in (check all that apply)
Campaigns Voter Registration
SCYR Board Fundraising
Event Planning County Party Activities
Other local Republican clubs Other (please specify below)

Are you registered to vote in Shelby County? 
Yes          No

I am a College Republican member.  What School?
(If you are a student at at a College that does not have a CR chapter, or a high school student, please also let us know what school you attend in the box above)

If you have any comments or suggestions about our website, please provide them in the box below. The SCYRs value your input and your suggestions.

Privacy Policy

The Shelby County Young Republicans respects your personal privacy.  We collect and store only the information that is required by the Tennessee Young Republican Federation, Inc. or is necessary for club business and quality communication between the organization and its members.
With the exception of the elements specified below, we will not share the information submitted in this form with any other entities other than what is required by the Tennessee Young Republican Federation, Inc. or the Young Republican National Federation.
We may share your name, e-mail address, address, and phone number(s) with the Shelby County Republican Party, an official county Republican Club, or an official Republican general election candidate.  We will make every effort to make sure that these entities offer similar protections to your information.
If you do not wish to be added to our club e-mail list, you may request to be removed from the list or submit an alternate address by contacting Don Johnson, SCYR Secretary.  Please be advised that, as no credit-card or similar personal information is being collected, we are not currently using a secure (SSL) server.