American Pirate Party Interest Form

Name:

pirate party logo
How did you hear about the Pirate Party?





How many pirate ships do you own? too many


what color is your aura?

Email:


Age:


Phone number:

Which of the US pirate Party's platforms do you agree with?
Putting People Before Corporations
Opening up Government
Police Reform
Pan-Americanism
Abolishing Patents


How would you categorize your satisfaction with our current government
1. none 2. somewhat 3. mildly 4. satisfied





What do you think of corporate greed?



Which US region are you from?


When is the soonest you are able to forget your old life and move to our headquaters in Massachusetts?