Daytime telephone:
Evening telephone:
Pager/Cell number:
FAX number:
E-mail address:
I want to receive Libertarian updates via e-mail
I would like to receive a free information package
How did you first hear about the Libertarian Party?
Please tell us how you can help:
Organizational support:
I'll join a local group (we need to know where you are)
I'll help form a local group
I'll participate in online Libertarian discussions
I'll register and vote Libertarian
I'll circulate petitions
I'll run for office
I'll help a local campaign
I'll help organize local events
I'll attend local events
I'll help with major mailings
I'll make phone calls
I'll work at the polls on election day
Publicity:
I'll put a bumper sticker on my car
I'll write letters to the editor
I'll call talk radio programs
I'll put a banner on my website
I'll run an ad in my local newspaper
Outreach:
I'll host a houseparty/event
I'll help at someone else's houseparty
I'll help organize outreach tables
I'll help staff outreach tables
I'll distribute literature in my neighborhood
I'll discuss the Libertarian Party with ten of my friends
I'll e-mail ten of my friends and invite them to visit the LP website
Other:
Please tell us about yourself
Occupation:
Employer:
I am a student
(school)
I am retired
Have you ever worked on a political campaign before?
Yes
No
If YES, please describe:
Do you belong to any other organizations that promote liberty?
Yes
No
If YES, which ones?
Do you belong to any community organizations?
Yes
No
If YES, which ones?
Do you have any special skills that might be useful in a political party
or campaign?
Yes
No
If YES, please describe:
Please tell us which issues most interest you:
Social Security
Internet Issues
Gun Rights
Drug Prohibition
Health Care
Education
Environment
Violent Crime
Taxation
Government Spending
Economic Liberty
National Debt
Welfare
Constitution
Personal Liberty
Immigration
Free Trade
Foreign Policy
National Defense
Bill of Rights
Privacy
Government Regulation
Other
That's it! Check over your message, then