Join us!
And
help build the Green Party of Kitsap County!
The Green
Party is entering a challenging new phase. We are building a new political party
and a network of activists to work with communities throughout Kitsap County and
to provide a strong political voice on a wide variety of local issues, and State
and National issues as well. We need your help and
participation! Please print the form below, fill it out, and mail it with your check
or money order to:
Green Party of Kitsap County
P.O. Box 215
Silverdale, WA 98383
Membership Application
Membership will become effective
following the completion of this application and the payment of
dues or the filing of a waiver.
I, _____________________________________, a resident of Kitsap County,
Washington, hereby state that I have reviewed the 10
Key Values of the Green Party listed
below, and being in general agreement with those values, submit this application
for membership in the Green Party of Kitsap County.
I further declare that I am not currently serving as an officer of another
political party (including but not limited to precinct committee officer) nor am
I seeking such a position in another political party.
The Ten
Key Values:
- Ecological Wisdom
- Social Justice
- Nonviolence
- Grassroots Democracy
- Community-based Economics
- Decentralization
- Respect for Diversity
- Feminism
- Future Focus
- Personal and Global Responsibility
Signed ___________________________________ Date _____________
CONTACT INFORMATION
(please print)
Name __________________________________________________________________
Address_________________________________________________________________
________________________________________________________________________
Phone ( )______________________________ E-mail
___________________________
REQUEST FOR ANONYMITY
[ ] I request that the Green Party of
Kitsap County not disclose my membership in this organization
except where required by law to do so.
DUES (Please make checks payable to: Green
Party of Kitsap County)
[ ] I am submitting membership dues in the amount of $15.00
[ ] For reasons of financial hardship I am requesting a waiver of
dues.
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AREAS OF INTEREST
I would be interested in volunteering in the following
areas: |
[ ] Nader Campaign
[ ] Community Outreach
[ ] Political Presence
[ ] Electoral Activities
[ ] Fundraising
[ ] Media Relations
[ ] Website |
[ ] Newsletter
[ ] Diversity Issues
[ ] Direct Action
[ ] Citizen Initiatives
[ ] Other __________________
_________________________
_________________________ |
E-MAIL
[ ] I would like to be added to the Party’s e-mail
discussion groups.
[ ] I would like to receive basic information only by e-mail
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