LPMNDC join Page

Our New Members Goal by December 2008 is 200

Libertarian Party of Metropolitan
Nashville and Davidson County
Membership Form

First Name:
Last Name:
E-mail address:
Street Address:
City:
State:
ZIP:
Daytime telephone:
Evening telephone:
Pager/Cell number:

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in an election cycle.

Occupation:
Employer:
I am retired	Yes No
I am a student	Yes No
School
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I would like to receive a free information package.	Yes No

The Libertarian Party is a party of principle. To publicly affirm what we believe—and to ensure that our party never strays from our principles-we ask our members to proudly sign (checking the yes box constitutes your electronic signature) the statement "YES, I certify that I do not believe in or advocate the initiation of force as a means of achieving political or social goals." Checking Yes is required for membership.

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

Yes
No

Please check over the information you have entered in the form above. Pressing the send button will generate an e-mail containing the information you supplied in the form that will be sent to the Libertarian Party of Metropolitan Nashville and Davidson County. If you cannot or do not wish to submit your membership information via e-mail, please download a printable (PDF) membership form that can be sent via regular mail.

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