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NEW AMERICAN INDEPENDENT PARTY
NATIONAL SELF RELIANCE PARTY
DISTRICT LEADER SIGN-UP FORM
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NOTICE:
All District Leader applicants must first be signed up as
New American Independent / NSRP members.
To sign up click here.
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NAME:
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COUNTY:
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STATE:
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ZIP CODE
00000 + 0000
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EMAIL ADDRESS:
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WHY DO YOU WANT
TO BE A
NEW AMERICAN
INDEPENDENT
PARTY/NSRP
DISTRICT LEADER?
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COMMENTS?
OR OTHER INFO. YOU
WANT US TO KNOW
ABOUT YOU.
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I have signed up on the "Join Us" page
on New American Independent Party
website.
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Have you read our party platform and
agree to support us on the issues
(even though you might not agree
100% on every issue)?
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THANK YOU!!
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