United Monarchist Party Registration Form
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Email *
First Name *
Middle Name
Last Name *
Phone Number
What State do you live in? *
What is your age? *
What is your highest level of completed education? *
Have you been educated in a trade? *
If Yes, what trade? *
Are you currently employed? *
What about our movement is appealing to you? *
What political party are you currently a member of, if any? *
If Other, please write what political party. *
How would you best describe your political standpoint or views in a broad sense? *
How would you best describe your social standpoint or views in a broad sense? *
Signature *
A copy of your responses will be emailed to the address you provided.
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