Adult Membership

Important

For your application to be processed, please:

Complete ALL fields and tick all boxes
Type "NA" if any field is not applicable (e.g. Apt, middle name)
USE A UNIQUE EMAIL ADDRESS (i.e. not used by a current SAP member, or it will override their profile)
Provide your full legal name (e.g. Katherine, not Kate, including middle name)
Provide your DOB
Provide your enrolled residential address (please separately provide any PO Box through the 'Contact Us' page)

The application will not process unless all fields and sections are completed.

Amount

$33.00

Your information

First name

Middle name

Last name

Date of Birth

Home Phone

Mobile Phone

Country

Street address

Apt, suite, etc.

City

State

Zip code

Street address

Apt, suite, etc.

City

Province

Postcode

Street address

Apt, suite, etc.

City/Suburb

Postcode

State/territory

Street address

Apt, suite, etc.

City

Postcode

Building number and street name

Address 2

City

Postcode

Street and building number

Apt, suite, etc.

Postcode

City

Province

Street address

Apartment, suite, etc.

Postcode

City

Street and building number

Apt, suite, etc.

Postcode

City

Street address

Apt, suite, etc.

Postcode

City

State/region

How did you hear about the party?

Have you ever been a member of any political party? If so please name all parties

Briefly, what are your top three reasons for joining Sustainable Australia?

I wish to become a member of the above political party. I support the philosophy, objectives and rules of the party.

I am eligible to enrol for Federal elections i.e. I am 17 years of age or older and I am an Australian citizen (or a British citizen who was on the Australian Electoral roll on 25 January 1984) and I have lived at the above address for at least one month.

I declare that the information I have given on this form is true and complete.

Payment details

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