Student Membership I want to become a student member of the NJ Libertarian Party! Please fill out the form below to enroll online. A printable version for mailing is available here. This form is for active students only. If you are not a current student visit our regular membershp page. New Membership Please sign me up as a new member of the NJLP for one year. Membership * Student Total Amount Email Address * If you would like to create an account on this site, check the box below and enter a Username and a password. If you already have an account please login to have this form filled out with data on file. This is completely optional and is only needed if you wish to access Party administrative information (meeting minutes, committee reports, etc.) Create an account? Username Check Availability Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores. Password Confirm Password Provide a password for the new account in both fields. NJLP Student Individual Prefix * Mrs. Ms. Mr. Dr. Miss. Freeman Freewoman Chef First Name * Middle Name Last Name * Individual Suffix Jr. Sr. II III IV V VI VII MD Esq. Street Address Supplemental Address City * State * - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code Zip4 4 digit Zip Code extension (optional) Phone Additional Information "I certify that I do not believe in or advocate the initiation of force as a means of achieving personal, social, political, or economic goals." You must select yes in order to become a voting member of the NJLP. Selecting "No" will make you a non-member subscriber. Non-Initiation of Force * Yes No College, school, or University * When are you expected to graduate? Is there a libertarian organization on your campus? - select Is there a libertarian organization on your campus? - Yes No I don't know Review your contribution