You Can Make the Difference

Membership Form (NSW)

DON’T GET ANGRY. GET ORGANISED

If you really want to see cannabis law reform, we need to pull together and make sure a Legalise Cannabis Party is on the ballot at every election.

BUT we can’t do this without your help.

Think we can’t make a difference? We have now managed to get MPs elected in both WA and VICTORIA.

We can do that all around Australia.

Filling in the form will only take 2 minutes.

ABSOLUTELY FREE TO JOIN

CHECK YOUR DETAILS If you are unsure of your electoral details please check here . Link opens in a new window.

Name*
Name must appear exactly as it appears on the electoral roll, including your middle name. If you do not have a middle name, leave the middle field blank. We only collect the information that the NSW Electoral Commission requires. Confidentially guaranteed. Please ensure the details you provide match the electoral roll.
First Middle Last
Your Prefix/Title*

This field is appearing as you have selected "Other Title" when entering your name.
Your preferred email address?*
Date of Birth*
Date of Birth information is required by the Electoral Commissions for verification purposes. You must be 18 or older.
Your Phone Number*

Mobile number is preferred.
Address*
Street Address City / Suburb Post Code Country

Please provide the address as recorded by the electoral commission. This is important as it supports the Party's ability to achieve and maintain state party status.
State / Territory*
State Electorate (Optional)
Optional. If you know your state electorate please select it from the list below.
Declaration*
- I have read the statement below
I am an Australian citizen and enrolled to vote. I am not relied upon by another party for the purposes of electoral registration. I hereby apply to join both the Federal and state Party as a Supporting Member. I understand that I may be contacted by the Federal and/or State Electoral Commission to verify my membership. I will abide by the constitution and associated regulations of the Parties.
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Next Membership Renewal Date
DD slash MM slash YYYY
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AEC Verified*
Assigned Membership ID
Member Mailout Reference Number
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Membership Status
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Membership Type
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UTM
Comments
This field is for validation purposes and should be left unchanged.

You Can Make the Difference

Membership Form (NSW)

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