Organizations Form
for Membership in the Libertocracy Association
and the Human Liberation Alliance

  1. What is the name of your Organization

    Street    
    City        State/ProvinceCountry
    Zip Code
  2. Is your organization? Non-Profit Political Other
  3. Org E-mail     
    Org Telephone
    Org FAX       
  4. WorldWideWeb Address
  5. Select the subject areas that best describes your Organization:
    New Civilization / Free Nation Project
    Community Association
    Politics / Legal
    Security - Police / Defense
    Human Rights
    Free Speech
    Privacy
    Self-Ownership - Issues involving drugs, sexuality, reproduction, etc.
    Education
    Cultural
    Social
    Economic
    Regulation
    Technology / Computer Issues
    Media-Communications
    Tax Issues
    Health / Aid Work
    Environment
    Property Rights
    Charitable
    Other - please describe below

  6. Do you wish to join and concentrate your activities in any of the following sub-organizations?
    Please select you special interest.

    Alliance for Individual Sovereignty
    Alliance for the Family
    Womin's Rights Alliance
    Men's Rights Alliance
    Children's Rights Alliance
    Sexual Freedom Alliance
    Cultural Freedom Foundation
    Liberal Education Achievement Foundation
    Freedom for Nations and Indigenous Peoples    Free Community Governments
    Human Rights Defense Alliance
    Free Enterprise Alliance
    Environmental Protection Alliance
    Libercratic Party

  7. Is your company/business prepared serve the Libertocracy Association & the HLA and follow its leadership.
  8. Please enter a brief statement about your Organization:

  9. Your Name                 If different from above.
  10. Your title with the Org.
  11. Your E-mail                 If different from above.

Do you wish to become an individual member of the Libertocracy Association, the Human Liberation Alliance or a Libercratic civilzen? If you do, please complete and submit this form and then fill out the Individual membership form.

Thank you for your interest in joining our organization, we look forward to a mutually beneficial relationship.

            

Joining the Human Liberation Alliance is a commitment to work for the organization.
Members agree to volunteer in some capacity, as suits one's abilities, time and preferences, to serve the organization and follow the leadership of the Alliance.

There is no charge for becoming a member of the Human Liberation Alliance.

Membership includes the monthly Libertocracy Association Newsletter with periodic updates, you can unsubscribe to the newsletter later if you want.

All information you give on this form, and in future communications, is kept completely confidential. It will be kept on record by the Libertocracy Association who will never under any circumstances allow this information to be given or sold to other parties, nor will it be voluntarily divulged to any state or its agents. The Libertocracy Association will take all reasonable security measures to insure that any information you give to us will be protected.