Do you want to:
Join the Electorate Conference in the electorate which you are enrolled to vote? PLEASE NOTE: So you will have full rights as a Party Member it is strongly recommended that you join the Conference in the electorate in which you are enrolled.
Join the Electorate Conference of your choice?
Become a Member at Large?
(Optional) Branch Membership. Would you like to join a Branch? YesNo
If you have a preferred branch please indicate below.
Branch
(Optional) Young Liberal Membership. If you are under 31 years of age please indicate if you would also like to join the Young Liberal Movement? YesNo
Do you believe in the values of the Liberal Party - individual dignity, liberty, free enterprise, the family, and personal and community responsibility? YesNo
Have you ever previously been a member of the Liberal Party? YesNo
Have you ever been a member of any other political party? YesNo
Have you ever previously applied for, and been refused Membership of the Liberal Party? YesNo
Have you previously been expelled from the Liberal Party? YesNo
Have you ever nominated as a candidate in an election for an Electorate or for the Senate/Legislative Council where the Liberal Party has had an endorsed candidate? YesNo
I/we apply for Membership of the Liberal Party of Australia (Victorian Division) and agree to be subject to the Party's Constitution and rules of the Party.
* Subscription rates for the membership period ending 28 February 2011. Remittance may be by Direct Debit, cheque or credit card.
I wish to pay by Direct Debit. Please send me a Direct Debt request form. *My cheque/money order has been sent (Payable to Liberal Party of Australia - Vic Division)Please charge my credit card (calculate total amount from subscription selection) * PLEASE NOTE: a discount of $10 for joint members and $5 for individuals applies in the first year of payment by Direct Debit.
NOTE: Contributions and gifts to registered political parties, including Membership Subscriptions, are tax deductible (up to $1,500 per annum).