BRITISH COLUMBIA LIBERTARIAN PARTY
                      MEMBERSHIP APPLICATION

  Yes, I want to join the British Columbia Libertarian Party. 
  I support the purposes of the Party, including:

      To foster and encourage the principle that no individual or
      group shall initiate the use of force or fraud against any other
      or as a means of achieving political or social goals.


   Signature____________________________________ Date:______________



    Name_______________________________________________________

    Address____________________________________________________

           ____________________________________________________

    Phone (day)____________________ (evening)__________________

    Fax __________________________

    E-mail address_____________________________________________


  Membership is currently $5 for one year.
  Donations to support the work of the Party are also welcome.

  Please make cheques payable to the British Columbia Libertarian Party.


        Send to:

        British Columbia Libertarian Party
        703-1180 Falcon Dr.,
        Coquitlam, BC
        V3E 2K7

  Phone: (604) 944-2845
  Email: info@libertarian.bc.ca
                                                            February 2000