Join Us

 

Join the Socialist Party of the United States of America

I, the undersigned, desiring to bring about, by democratic means, a new society based upon democratic socialism, hereby apply for membership in the Socialist Party USA, and subscribe to its principles.

 

Signature: ______________________________ Today’s Date:_______________

Name ____________________________________________________________

Address __________________________________________________________

City _____________________ State ________________ Zip ______________

E-mail __________________________Phone ______________________

Date of Birth:_______________ Male/Female:_________________

 

Other Organizations to Which I Belong (Political Groups, Unions, etc.) __________________________________________________________________

__________________________________________________________________

Please Send Me More Information About…

[] Young People’s Socialist League [] International Commission

[] Women’s Commission [] Queer Commission [] Disability Commission

[] Labor Commission [] Faith and Socialism Commission

[] Other (please specify) __________________________________

 

Annual Dues (based on net annual income):

[ ] Full-time Student: $15 (new members only) Name of school:_________________

[ ] Under $20,000 base rate: $30 (sliding scale up to) $75

[ ] $20,000-35,000 base rate: $75 (sliding scale up to) $150

[ ] $35,000-50,000 base rate: $150 (sliding scale up to) $270

[ ] $50,000-65,000: $270 (plus 1% of net income between $50 -$65,000)

[ ] Over $65,000: $420 (plus 2% of net income over $65,000)

A full or partial waiver is available for financial hardship or long-term unemployment. Waiver requests must be submitted in writing.

 

Bring to a meeting or mail to: Socialists, c/o 255 Sherbourne Rd., Syracuse, NY 13224.