Membership Application

Membership Application

Please fill out the form below to submit your Application for Membership.
Then head over to our Patriot Store to Pay for your first year dues.

If you do not have a PayPal Account. Please send your check to:

Tri-State Sons of Liberty
PO Box 14
Matamoras, PA 18336
United States

*Please Note*
Until your dues are received, your membership will not be activated.

Title *

Your Full Name: *

Date of Birth: *

Your Street Address: *

Mailing Address: *

Town/City/Village: *

State: *

Zip Code: *

Email Address: *

Home Telephone Number: *

Cell/Business Number:

Your Political Party As Registered *

Your Voting District

How Were You Referred To Us? *

Please Specify Payment Method: *

I do hereby attest that I have read the Mission Statement and the Membership Guidelines of the Tri-State Sons of Liberty and upon so doing, by signing this, I understand and agree with said mission Statement and Membership Guidelines completely and fully. Please Sign & Date Below: *