LIBERTARIAN PARTY OF VOLUSIA COUNTY

POST OFFICE BOX 335

DELAND, FLORIDA 32721

(386) 320-6118

Email: volusialp@gmail.com 

Website: https://volusia.lpf.org/ 

 MEMBERSHIP APPLICATION  

APPLICANT INFORMATION

Full Name: ________________________________________________________ Date of Birth: ____________________ Last First M.I.

Address: ______________________________________________________________________________________ Street Address Apt./Unit #

______________________________________________________________________________________ City County State Zip Code

Phone: __________________________________ Email: _____________________________________________  May the LPVC send you texts? ☐ Yes ☐ No May the LPVC email you? ☐ Yes ☐ No  

To qualify as a voting member of the Libertarian Party of Volusia County (LPVC) you must reside within Volusia County.

MEMBERSHIP PLEDGE

Membership in the Libertarian Party of Volusia County is open to whoever has a qualifying address and 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.”

Member Signature for Pledge: ___________________________________________ Today’s Date: __________________

QUALIFICATIONS FOR VOTING MEMBERS

Do you have a qualifying Volusia County address? ☐ YES

Are you registered to vote in Florida? ☐ YES If so, are you registered LPF? ☐ YES

WELCOME TO THE LPVC!

Do you have a passion to help something specific? Let us know!

ALL SECTIONS BEYOND THIS POINT ARE FOR OFFICIAL USE ONLY.