Libertarian Party of Allen County (LPAC), Indiana  Membership Form

$20 one-time fee is required.  

Joining LPIN gives you simultaneous free LPAC membership, if you live in Allen County.

 

Name: ___________________________________________________________

Address: _____________________________________ county:___________, IN, zip code: _________

Mail to physical address or to P.O. Box?  ________________________________

Email address:                                                            Telephone numbers:

 

_____________________________________________________________________________

I confirm that:

#1) I am a legal citizen of the United States of America and/or subject to the jurisdiction thereof, and

#2) I maintain a residence inside of Allen County, Indiana.

Or you may join if you live in a county of Indiana with no organized Libertarian county party.

#3) I endorse the basic Libertarian value that an individual has the right to life, liberty, property and self-defense and has the obligation to be responsible for their actions; basically, “Don’t hurt people and don’t take their stuff,” and that people have the right to do what they want as long as they do not interfere in the same rights as others.

I also make this pledge:

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

By my signature, I do hereby join the Libertarian Party of Allen County, also known as LPAC in the state of Indiana.

[  ] I am a member of LPIN and will maintain that membership and so do not need to pay the fee.

[  ] I am signing up for  LPAC and will pay the LPAC Treasurer the $20 one time membership fee.

 

NAME (printed): ________________________________________

 

NAME (signed): __________________________________________  Date: ________________

 

LPIN Treasurer: [   ] I have received the $20 membership fee from this new LPAC member.

 

Printed, signed: _________________________________________________  date: ______________