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

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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 *
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I am a registered voter *
 Yes, I agree. 
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