Bernie Party Sign Up Form
Sign up to connect with the Bernie Party for the Long Term Political Revolution to take our country from the billionaire and millionaire class and give it back to the People!

Also a lot of our work is crowdsourced so you can read the plan and get started immediately. The plans are basically the same.

Link to Bernie Party Plan: https://docs.google.com/document/d/1mzzcrOlGUPe8i1E09snWON7y7oo93cUkOuiCM2PdBvA/edit?usp=sharing

Questions please call or email:
jay@jaycan.us
415-323-5833

Name
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Email
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Phone
if you would like text updates, please also include your carrier
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Other Contact Info
Location, Address, Facebook, Twitter etc...
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Current Official Political Party
What Party are you currently officially Registered with?: Democrat, Green, Republican, Socialist, Non Partisan, Independent, No Party Preference, or one of the many other existing Political Parties... You can also be unregistered as well. We will NOT hold it against you and can still be part of the Bernie Party. You can only list one officially registered Party, and if it isn't listed here, just add it in the Other column.
Secondary/Subsidiary/Affiliated Parties
We are all affiliated with additional Parties, including the Bernie Party as of now, and so please list the other Political Parties that you are affiliated with, regardless of whether they are official registered parties or not. For example a lot of Green Party members registered as Democrats for the 2016 election, but you can still be affiliated with the Green Party. Examples: Tea Party, Bernie Party, United Peoples Party, and all of the other established parties etc... You can list as many as you want. List of all parties: https://en.wikipedia.org/wiki/List_of_political_parties_in_the_United_States
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Membership
You are becoming an official empowered Member of the Bernie Party with all rights and abilities bestowed upon our membership. So please let us know how you would like to establish your membership.
What Type of Membership Would You Like to Join the Bernie Party with?
By becoming a Member of the Bernie Party, you have equal Vote and equal Voice within our Party, and there are NO elites or insiders, you are the foundation of our existence. No One is ever turned away from full Membership empowerment for lack of funds, but we do have a substantial infrastructure to build, and need resources of volunteer time and funds to make this happen now and into the future.
How much per membership Cycle would you be willing to pay?
By becoming a Member of the Bernie Party, you have equal Vote and equal Voice within our Party, and there are NO elites or insiders, you are the foundation of our existence. No One is ever turned away from full Membership empowerment for lack of funds, but we do have a substantial infrastructure to assemble and need resources of volunteer time and funds to make this happen now and into the future. How much could you contribute?
Your answer
Do you agree to the foundation of the Bernie Platform?
Please select all that you agree with. Although we do not turn members away for lack of funds, we do need to ensure that our membership is in alignment with the core of the Bernie Platform. It will take us time to build understanding and agreement on this core, and we do accept proposals to change it, as we do not expect all our members to agree to every aspect of Bernie's Platform right away, and you as the membership must have the power to change it as needed, but it is important to have agreement on the basic core Principles.
Your Local Involvement in Bernie Groups
We would like to know if you are locally involved in Bernie Groups and other Community Organizations.
Are you connected to a Local Bernie Group?
Please let us know your involvement with existing Bernie Groups or other community groups, by listing the names of the Bernie Groups and other Community Groups you are actively involved in or could represent.
Your answer
Are you an officially appointed or Elected representative of your local group(s)
Please let us know your involvement with existing Bernie Groups or other community groups. If so Please email us a link to your groups meeting minutes, or attach them to the email: info@BernieParty.net
Introductory Calls for Volunteers
We are providing a series of Introductory Calls for people to ask questions and get involved. Please choose the best Day(s) and time(s) that you would be able to attend a conference call.
What Day(s) of the Week work best for an introductory Conference Call
Choose as many as you are interested in, but they have to coincide with the times you select bellow.
What Times(s) of the Day work best for an introductory Conference Call
Choose as many as you are interested in, but they have to coincide with the Days you selected above.
How would you like to get involved?
Choose as many as you are interested in.
Also Join the new United Progressive Party (UPP)?
The UPP is a new Political Party focused on uniting people behind the core foundation of Bernie's Campaign. Would you also like to become a Member of our affiliate United Progressive Party, which is working to become an established Political Party, but is also open to involvement from all other party affiliations? For More information about UPP: http://UnitedProgressiveParty.org
Thats It!
Thanks so much for Joining the Bernie Party, and stay tuned for email and posted updates for getting involved in online voting and empower our communities.
Other Questions, Concerns, Ideas
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