VETERANS’ PARTY OF TEXAS

                                                            126 E. Main Plaza, Suite 6

  San Antonio, Texas 78205

  Phone: (210) 224-1468

  MEMBERSHIP APPLICATION

I, the undersigned am a registered voter and would like to join the Veterans Party of Texas.

______________________________

SIGNATURE

1. Print name___________________________
2. Complete Mailing Address_____________________________
3. Telephone, with area code_____________________
4. email address________________________
5. Voter Registration number_________________________
6. Not Registered, but would like to be __________

                                                                 Initials

I would like to volunteer to serve on one of the following committees:

Please put the number one, two and three, in order of preference next to the committees you would like to volunteer for.

Administrative:

_____Steering (Start-up) Committee

_____Recruitment

_____Communications

_____Finance

Platform Planks:    Remember additional Committees will be formed as we develop.

_____National Defense (Including Veterans’ Affairs)

_____Education                                                     _____Second Amendment

_____Employment Issues                                       _____Environmental Issues

_____Immigration

_____Social Security

_____Economic Affairs

_____Foreign Aid

_____Welfare

_____Affirmative Action

_____Criminal Justice

_____Health Care