To join the Libertarian Party or renew your membershi=
p,
print this page with your web browser, fill in the appropriate information,
sign the form and mail it (along with check, money order or charge informa=
tion)
to:
Libertarian Party of Michigan, P.O. Box 27065 Lansing, MI 48909-7065
____ $25 Membership in the Libertarian Party of Michigan.
$__________ Additional donation for operating fund
Total: $______________
____ Check/Money Order Enclosed - payable to: Libertarian Party of
Michigan
____ Bill my Visa or Master Card account:
Acct. #_____________________________________Exp.___________
Charge Card Signature:_____________________________________
____ I've already paid using the LPM website's secure payment page.
Please Print:
Name:___________________________________________________________
Address:________________________________________________________
City:___________________________State:______Zip:_________-______
County:___________________________ e-mail:_______________________
Telephone: Day(_____)______-________ Evening(_____)______-________
Applicants for membership must indicate concurrence with the following
statement by signing below.
"I hereby certify that I do not believe in or advocate the initiation=
of
force as a means of achieving political or social goals."
This statement does not preclude self defense or resistance to tyr=
anny.
Signature:_____________________________________=
__Date:___________________
Gove=
rnment mandated
notices:
The United States Postal Service requires that we notify you that the cost=
of
newsletter subscriptions ($15
LPM member receives the "Michigan
Libertarian" newsletter.