NON-CUSTODIAL PARENTS PARTY (EQUAL PARENTING)
APPLICATION FOR MEMBERSHIP
SURNAME: _____________________ GIVEN NAME: _____________________________
RESIDENTIAL ADDRESS: ___________________________________________________
STATE: _________POSTCODE: _________ TEL: (Home): (___)____________________
(Mobile): (___)_____________________ (Work): (___)______________________________
FAX: (___)_____________________ EMAIL: _____________________________________
I wish to become a member of the above party.
I am eligible to enrol for Federal Elections.
(You are eligible to enrol for Federal Elections if:
- you are 17 years of age
- you are an Australian citizen.
- you have lived at your present address for at least the last month.)
[British subjects who are not Australian citizens are eligible to enrol for Federal Elections if they were on a Commonwealth Roll on 25 January 1984].
I consent to this form being forwarded to the Australian Electoral Commission in support of the Party’s application for registration. (Strike out if not applicable).
I declare that all the information I have given on this form is true and complete.
Signature*:_____________________________________ DATE:______ / ______ / ________
PLEASE NOTE: This form may be forwarded to the Australian Electoral Commission to confirm that the party meets the party registration requirements. The AEC conducts random surveys to verify membership and it is possible that they may contact you asking you to confirm that you signed this form. The form will be treated by the AEC in the strictest confidence. It will only be used to verify the party’s entitlement to registration and for no other reason. The form will then be returned to the party. No copy or information contained in this form will be kept by the AEC.
NON-CUSTODIAL PARENTS PARTY (EQUAL PARENTING),
PO Box 97,
DOUGLAS PARK. NSW. 2569.
Telephone (02) 463 09072, Mobile 0408 645 511, Fax (02) 4630 8300
DON’T SIT ON THE FENCE ANY LONGER – JOIN NOW.
MEMBERSHIP IS FREE!