The San Diego Libertarian Party

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Membership Application

The Libertarian Party of CA 
Region 37 (San Diego County)
9974 Scripps Ranch Blvd. #358 
San Diego CA 92131
Phone 619/530-1776 
Fax 619/530-3030 
www.sdlp.org

Please Print: 
Name 
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Address 
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City/State/Zip
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Home Phone
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Work
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E-mail
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Volunteer?                                   Voter Registration
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The Libertarian Party is the Party of Principle.

To assure and affirm that our party never strays from its principles, we request our members to sign the pledge below. (Non-signers cannot vote on party business.) 

I hereby certify that I do not believe in or advocate the initiation of force as a means of achieving political or social goals. 

Signature 
_________________________________________________________________ 

I choose to set my annual dues at:
(Dues include subscriptions to national, state & local monthly publications) 
~ $25 Basic x____years =______ 
~ $50 Sustaining x____years =______ 
~ $_____Other (over $25) 

Plus
~ $1,000 Lifetime Membership 
~ $_____Monthly Pledge*
~ $_____Donation 

Total________ 

Payment
~ Check (Pay to "Libertarian Party") PREFERRED 
~ Visa / Mastercard 
Credit Card #: 
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Expiration Date: 
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Name on Card: 
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Signature 
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* Renewal dues are waived for members who meet a monthly pledge of $10 or more for one year.
Click HERE to sign up and pay dues via our secure online server.