Libertarian Party of Colorado Contribution Form

Libertarian Party of Colorado
Contribution Form

To support the Libertarian Party of Colorado in building the voice of liberty,
increasing support for local candidates, and providing more outreach and education to Colorado voters.

Choose One Of These Contributions:

Nickel Club - Donate $5.00 each month easily using PayPal or Credit Card.
Or a one time donation of $50.
Receive a Libertarian bumper sticker and outreach handouts for friends.

Copper Club - Donate $10.00 each month easily using PayPal or Credit Card.
Or a one time donation of $100.
Receive above items and a Libertarian cap.

1776 Club - Donate $17.76 each month easily using PayPal or Credit Card.
Or a one time donation of $200.
Receive above items and the book, "To Save America: How to Prevent Our Coming Federal Bankruptcy"
by Martin L. Buchanan. (an LPCO member and 2008 Libertarian candidate for Congress)

Gold Club - Donate $50.00 each month easily using PayPal or Credit Card.
Or a one time donation of $500.
Receive above items and the book, "Nanny State" by David Harsanyi (a Denver Post columnist).

Use PayPal to choose your own monthly level of support of the Libertarian Party of Colorado:
Other Monthly Amount: $

Or choose your own one time level of support of the Libertarian Party of Colorado:
Other One Time Amount: $

Member Information

Date:
First Name:

Last Name:

Address:

Suite/Apt # (if any):

City:

State: Zip: -
County (ex. Adams, Douglas, Weld):

Daytime Phone:
Ext.:
Evening Phone:
Ext.:
Email Address:

(for monthly Newsletters & Liberty Alerts)

Payment Information

Check or Money Order Enclosed (no corporate checks)

Bill my Credit Card:
Visa MasterCard AMEX Discover
Credit Card #:
Expires: /
Bill my Credit Card Monthly for :

Signature: Date:

Mail this form with checks payable to:

The Libertarian Party of Colorado
6989 S. Jordan Road, Suite 5U
Centennial, Colorado 80112
Telephone: (303) 837-9393

Employer:	(legal requirement)
Occupation:	(legal requirement)

Government Mandated Notices:

The Federal Election Commission requires political committees to report the name, mailing address, and occupation and name of employer for each individual whose contributions aggregate in excess of $200 in a calendar year. The IRS requires us to print "contributions are not tax-deductible" on all fundraising appeals. Funds received in response to this solicitation are subject to federal contribution limits. Contributors from corporations and foreign nationals are prohibited.

Note: To receive National Libertarian Party News requires a separate subscription available at www.LP.org. Also, you do NOT need to have a paid membership to be a Candidate or to Nominate or Vote for a Candidate or Issues at the Libertarian Party of Colorado State Convention. To do these things you DO need a Libertarian Party Affiliation on your Colorado Voter Registration card. So visit your local County Clerk or download a Voter Registration form at www.LPColorado.org.
Take Action and Register to Vote as a Libertarian Today! /register.aspx