Southern Independence Party of Arkansas
 

Southern Independence Party

Affiliated with the FEDERATION OF STATES

Contributions to the Southern Independence Party of Arkansas

are NOT tax deductible.

 

SIP of Arkansas Membership and/or Financial Contribution Form

PLEASE USE THIS FORM TO MAIL A CHECK OR MONEY ORDER

Name: ____________________________________________________ Member?: Yes_____  No _____  Later _____
Address: (Street)____________________________________________ (City, St., Zip)____________________________________
E-Mail if any:______________________________________ Phone:__________________________________________
   
Dues or Gift Contribution: ____$20 ____$35 ____$50* ____ Other: $ ____
Check or Money Order #:______________________________________
$50 or more will gain you membership in the
Federation of States and a copy of the new book:
THE CONFEDERACY OF THE UNITED STATES OF AMERICA 
Also, consider being a supporting member by pledging  a monthly amount to assist in Party development. : ____________________________
 
It is extremely important that you make your check or money order must be made payable to the
FEDERATION OF STATES. (until your State holds a convention and elects an executive committee.)
 
Federation of States
3708 E. 29th Street, Box 102
Bryan, Texas 77802-3901
 
JOIN US!

See Web page at:  www.sipofArkansas.org

Or www.federationofstates.org

THE FIGHT TO PRESERVE OUR FREEDOM STARTS HERE