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NEW AMERICAN INDEPENDENT PARTY
COORDINATOR APPLICATION FORM
(COUNTY/ STATE/ REGIONAL/ ONLINE)
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NOTICE:
All coordinator applicants must first be signed up as
New American Independent members.
To sign up click here.
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NAME:
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COUNTY:
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STATE:
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EMAIL ADDRESS:
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COORDINATOR
POSITION YOU ARE
SEEKING?
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WHY DO YOU WANT
TO BE A
NEW AMERICAN
INDEPENDENT PARTY
COORDINATOR?
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COMMENTS?
OR OTHER INFO. YOU
WANT US TO KNOW
ABOUT YOU.
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I have signed up on the "Join Us" page
on New American Independent Party
website.
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Have you read our party platform
and agree to support us on the
issues (even though you might not
agree 100% on every issue)?
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THANK YOU for your interest in helping bring the power back to the people! You will receive an
email from us within the next few days.
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