Become a Member BECOME A MEMBER 1 Information2 Payment Title*First Name*Last Name*Date* Date Format: DD slash MM slash YYYY GenderGenderMaleFemaleA CrocodileEmail Address* Phone Number*Membership Type*Membership Type$1,100.00 Lifetime Membership$33.00 General Membership Subscription for a year$22.00 Concession Membership Subscription for a yearT-shirt size*Postal Address*Suburb*State*Post Code** I confirm that: I have not been convicted of a disqualifying electoral offence within the last 10 years of today’s date and am not a member of another political party. I accept that this membership is a yearly subscription and requires 30 days notice in writing, via email to admin@kap.org.au, to opt out of this subscription or to cancel my membership. I confirm that I agree with the 'Core Values and Principles' of the Party, will abide by the Constitution of Katter’s Australian Party and understand that my membership is subject to the approval of the Federal Management Committee.** I confirm that the information provided is truthful and accurate.* Coupon Total $ 0.00 Credit Card* Card Details Cardholder Name Δ Donate Now Change starts with you $5 $10 $25 $50 $100 $250