Membership - America's Socialist Party

Name *
Name must be as it appears on Voter Registration.
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Phone Number *

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Email *
Type of Membership *
Mail check or money order to:
Socialist Central Committee
P.O. Box 2224
Indianapolis, Indiana 46206
Please contact me about news and events *
 Yes 
 No 
I am a registered voter *
 Yes, I agree. 
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