YES ! I'll join the Libertarian Party
Libertarian Party Lebanon County, Pennsylvania

Annual Dues:  Regular [  ] $10      Student  [  ] $5
Name:
Address:
City, State, Zip:
E-Mail:
Phone:
Date:
New Members must sign the pledge: 
I hereby certify I do not believe in or advocate the initiation of force or fraud as a means of achieving political or social goals.
 

Signature 
In addition to my membership, I want to help make Lebanon County a community of Libertarians !

Included is my gift of [  ]$100  [  ]$75  [  ]$50  [  ]$25
[  ]Other:                       to help spread the word.

Please bring this membership form along with you to any regular meeting.

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