Membership Application
To apply for membership of Trust Democracy, please complete and submit this form.

Please take the time to review our Rules by clicking the following link:
https://drive.google.com/file/d/18RCZbJaH6k2Z_Uq6ZtSCfg4RCVZdT8yS/view?usp=sharing
Sign in to Google to save your progress. Learn more
Your first name *
Your surname *
Your email address
Your residential address *
Your phone number *
Please tell us a little bit about yourself and your interest in democracy
Please tell us about any activities you have undertaken that relate to Trust Democracy's primary question: "What does it take to make democracy work as it should?"
Would you like to help Trust Democracy with any activities?
I apply for membership of Trust Democracy and agree to be bound by its Rules, and endorse its purposes and principles.
I will take no action nor make any statement which may bring Trust Democracy or its reputation into disrepute. *
Required
Rule 18.3 regarding privacy of my personal information has been drawn to my attention. *
Required
Please opt-in to our emails, which are typically sent out every second or third month. It is easy to unsubscribe if you no longer wish to receive them. *
Required
Privacy
Please opt-in to our emails, which are typically sent out every second or third month. It is easy to unsubscribe if you no longer wish to receive them.
Privacy
This information will be kept securely by the Committee of Trust Democracy, and used and disclosed only for the purposes of enrolling you as a member and for maintaining contact with members in carrying out Trust Democracy's objectives.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of trustdemocracy.nz. Report Abuse