I want to renew my membership in the Libertarian Party!

I have checked the level at which I want to join and have enclosed the corresponding dues.

Name_______________________________________________

Address_____________________________________________

City________________________________________________

State_____________________ Zip________________________

Phone_______________________________________________

Email_______________________________________________

State election law requires us to collect the name, mailing address, occupation and the name of the employer of contributors.

Occupation: _______________________________________

Employer: _________________________________________

Yes! Please Renew my membership in the New Jersey Libertarian Party.

My dues are enclosed as follows:

____$600 Life

____$100 Patron

____$75 Sustaining

____$50 Supporting

____$25 Regular

Newsletter subscription(s) are included with your membership.

Make check payable to New Jersey Libertarian Party and mail to:

NJLP
P.O. Box 56
Tennent, NJ 07763