"Yes, I want to join the Libertarian Party!"
Sign up now! Become a dues-paying member of the
LP.
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
_________________________________________________________________
Address
_________________________________________________________________
City/State/Zip
_________________________________________________________________
Home Phone
_________________________________________________________________
Work
_________________________________________________________________
E-mail
_________________________________________________________________
Volunteer?
Voter Registration
_________________________________________________________________
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 #:
_____________________________________
Expiration Date:
_____________________________________
Name on Card:
_____________________________________
Signature
______________________________________
* 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.
|