Print this form, complete it, and mail it to:
Monroe County Green Party
P.O. Box 24
Bloomington, IN 47402-0024
Membership dues are $20 per calendar year ($10 after June 30).
| Name | |
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| Address | |
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I am in general agreement with the Ten Key Values of the Monroe County Green Party:
1. Ecological Wisdom
2. Social Justice
3. Grassroots Democracy
4. Nonviolence
5. Decentralization
6. Community-based Economics
7. Postpatriarchal Values (Feminism)
8. Respect for Diversity
9. Personal and Global Responsibility
10. Future Focus
| Signature | |
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| Date | |
| Dues Enclosed | $ |