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NON-CUSTODIAL PARENTS PARTY
(EQUAL PARENTING)
(PARTY NAME)
APPLICATION FOR
MEMBERSHIP
SURNAME: _____________________
GIVEN NAME: _____________________________
RESIDENTIAL ADDRESS:
___________________________________________________
CITY/TOWN/SUBURB:
_____________________________________________________
STATE: _________POSTCODE: _________
TEL: (Home): (___)____________________
(
FAX: (___)_____________________
EMAIL: _____________________________________
DECLARATION:
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),
Douglas Park. NSW. 2569.
Email: ncpp@xisle.info
Telephone (02) 463
09072,
____________________________________________________________________
DON’T SIT ON THE FENCE ANY LONGER -
JOIN NOW.
MEMBERSHIP IS FREE!
Adobe Acrobat PDF copy
of this NCPP(EP) Membership Form
Back
to NCPP(EP)
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