Liberal Democratic Party New Member Sign Up

1. By completing the form you apply for membership of the Liberal Democratic Party. If accepted you will become a member of both the Federal party and the State/Territory party applicable to where you reside. You agree to abide by both the National and State Constitutions of the party as amended from time to time. If happy to proceed, please complete the form below.
2. First Name(*)
   Your name is required to fulfill the Australian Electoral Commission's requirements.
3. Last Name(*)
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4. Date of Birth (ddmmyyyy)(*)
   
   

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   DOB is required by the electoral authorities when registering and re-registering the party. It is not used for any other purpose.
5. Gender
   MaleFemaleInvalid Input
6. Street Address(*)
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7. Suburb(*)
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8. State(*)
   ACTNTNSWQLDSATASVICWAInvalid Input
9. Postcode(*)
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10. Phone Number(*)
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11. Email Address(*)
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12. Membership Category
    SelectFree MembershipFinancial Membership - 70.00 AUDConcessional Financial Membership (Pensioners and Students) - 35.00 AUDInvalid Input
    
    
    Financial members may vote for and be elected to the National Executive
13. Total
    0.00 AUD
14. Are you an Australian citizen?(*)
    YesNoInvalid Input
15. Please prove you are human
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