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Application for Party Membership

Surname: *
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Given Name(s): *
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Residential Address:
(as enrolled) *

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Postal Address:
(if different)

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E-Mail Address:
Please supply us with a valid E-Mail address. It should contain [email protected].
Daytime Telephone: *
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Mobile:
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Date of Birth: *
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I am eligible to vote:
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I am enrolled to vote:
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I am a member of another political party:
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I would be interested
in being a Sex Party Volunteer:

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Please note: By applying to join the Australian Sex Party for free you are agreeing to join as a non-voting member. This means you will not be entitled to vote on party matters, hold a party position or be selected as a party candidate. Voting members pay a joining fee of $20 - $100 depending on what they believe they can afford. If you would like to join as a voting member please contact our office: [email protected]

Declaration:

I wish to become a member of the Australian Sex Party. I understand that if accepted I will become a member of both the Federal Party and the State/Territory Party where I live.

I am eligible to enrol to vote in elections i.e. I am 17 years of age or older, I am an Australian citizen (or a British citizen who was on the Australian Electoral roll 25 January 1984) and I have lived at the above address for at least one month.

I consent to this form being forwarded to the Australian Electoral Commission and the State / Territory electoral commission in support of the party's application for registration as a political party in the State / Territory where I live

I declare that the information I have given on this form is true and complete. By submitting this form I accept the above declaration and that all information contained within this form to be submitted electronically to be truthful and accurate to the best of my knowledge.
       
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Authorised by Robert Swan, 10 Ipswich Street, Fyshwick ACT 2609.

Australian Sex Party