Renew your Membership

RENEW YOUR MEMBERSHIP

1Information

2Payment

Title*
Member Number
First Name*
Last Name*
Date*
DD slash MM slash YYYY
Gender
Email Address*
Phone Number*
Membership Type*
T-shirt size*
Postal Address*
Suburb*
State*
Post Code*
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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.*
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I confirm that the information provided is truthful and accurate.*