Libertarian Party Membership Form How To Join the Libertarian Party

Our Principles: Each individual possesses the inalienable right to life, liberty and justly acquired property. All individuals are entitled to choose their own lifestyles, as long as they do not forcibly impose their values on others. The only moral basis of politics is the preservation and protection of individual rights. The voluntary and unrestricted exchange of goods and services is fundamental to a peaceful and harmonious society. I hereby subscribe to the Objectives and Principles of the Libertarian Party of New York, certifying that I do not believe in or advocate the initiation of force or fraud as a means of achieving political or social goals. Signature: _________________________________ Date: _______________ (signature required for membership, not required for subscription only) Print Name: ____________________________________________________ Mailing Address: _______________________________________________ _______________________________________________ _______________________________________________ County: ___________________________ (we organize by county) E-Mail: ________________________________________________________ URL: ___________________________________________________________ Home Phone: ___________________ Work Phone: _____________________ Occupation: _____________________________________ Renewal New Member ____ Joint Regular NY and National $25 ____ Sustaining $100 ____ Patron $500 ____ Life Member $1000 Make checks payable to: Libertarian Party, and mail to Libertarian Party 2600 Virginia Ave., NW Suite 100, Washington DC 20037