United in Liberty-Membership Application

We, at United in Liberty, thank you for taking an interest in becoming a Member. We are committed to saving our National Constitutional principles through education and, most importantly, action!

In order to provide a common platform, and ensure that our members are of the same mindset, the following application must be filled out in order that you might be assigned to a Community Action Committee (CAC) in your area.

Each 'member' represents a 'family.' In other words, a member can be a single individual or a husband and wife team, but two people in the same nucleus family cannot be more than one member as to avoid an absence of a full leadership at any given time. * Are Required Fields.

Applicant Information
First Name: *
Last Name: *
Spouse:
Address Street 1: *
Address Street 2:
City: *
State: *
Zip Code: *	(5 digits)
Contact Information
Daytime Phone: *
Evening Phone:
Email: *
Other Information
How did you hear about United in Liberty?:
	Are you willing to be a CAC Leader in area?
Please tell us about yourself and why you are interested in United in Liberty:
	I will strive to learn and live by The 12 Principles of Liberty™
	I will strive to attend all CAC Meetings when able.
	I will strive to actively seek new members to attend and support my local CAC Meetings.
	I will strive to read and study from the United in Liberty Core Library list to become familiar with principles of sound government.
	I understand that each adult family member can and is encouraged to participate.
	I will strive to be involved in my local CAC and become informed about local issues that affect true principles of government.
	I understand that as a member of a United in Liberty CAC Group, I must hold to high standards of integrity, in my family, community and my country.

Please allow 1-3 days for National to review and approve your application.
Thank you for your commitment to freedom and liberty.