LPNY Membership Form
Fill out the form below to join as a member of the Libertarian Party of New York. Once the form is submitted, your membership will be reviewed for verification with the Board of Elections website. 

While you can join the LPNY through the Board of Elections, because the Board of Elections has often failed to properly enroll Libertarians, the LPNY would like to keep its own records and provide for situations for unaffiliated and blank voters to still join the Libertarian Party.

The membership of the LPNY shall consist of individuals who are registered in the State of New York who either 1) are enrolled in the “Libertarian Party”  in the records of the New York State Board of Elections; or 2) are enrolled with no party or blank in the records of the New York State Board of Elections but have registered with the LPNY [using this form] for the purpose of being an official member of the LPNY.
Sign in to Google to save your progress. Learn more
First Name *
Middle Initial *
Last Name *
Email address *
Phone number
Address *
City *
County *
State *
Zip *
Date of Birth *
MM
/
DD
/
YYYY
Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy