To join the Libertarian Party or renew your membership, 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 information) to:
Libertarian Party of Michigan, P.O. Box 27065 Lansing, MI 48924-7065


____ $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 tyranny.

Signature:_______________________________________Date:___________________

Government mandated notices: The United States Postal Service requires that we notify you that the cost of newsletter subscriptions ($25 national, $15 Michigan) are included in your membership dues. The Internal Revenue Service requires that we print "contributions are not tax-deductible".

LPM member receives the "Michigan Libertarian" newsletter.