Libertarian Party of Brevard County

Membership Form

Membership in the Libertarian Party of Brevard County (LP Brevard) is open to whomever signs the 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"

* indicates required

Email Address *

First Name *

Last Name *

Address

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Voter ID

Birth Date

Party Affiliation

Phone Number

May we text you? *

County Commission District

Senate District

House District

Congressional District

Precinct

Name Suffix

Middle Name

vote code

Precinct Split

School Board District

Membership Pledge

I read and agree to the membership pledge.

Qualification for voting members

Reside in Brevard County
Registered Libertarian Voter in Brevard County
Libertarian Party of Florida Member
I have attended 3 of the previous 6 and/or 6 of the previous 12 business meetings.

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