Indigenous - Aboriginal Party of Australia
                                                                      Membership Form

Thank you for showing your support for the Indigenous - Aboriginal  Party of Australia. Membership is open to both Indigenous and non-Indigenous Australians who care about getting uncompromised First Nations representatives with real power into parliament.

(Any issues with the form please email us at: indigenouspartyofaustralia@gmail.com)
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Email *
Please provide your details as they appear on the electoral role
First Name *
Middle Name/s (please provide as you are enrolled)
*
Last Name *
Date of Birth
*
MM
/
DD
/
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Address Line 1 - Number and Street Name *
Suburb *
State *
Post Code *
Phone Number
Federal Electorate - if you know it
Do you identify as Aboriginal or Torres Strait Islander? We are asking this question for our records mostly so that you can be identified for candidature or other leadership roles.
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Notes (optional)
                                    Thank you for your support and for completing this form.
                                           You are now a member of the Indigenous-Aboriginal Party of Australia.
                                                    Your name has been added to our membership list.

Please note - We have collected your email address so we can send you a confirmation of membership.
We will send email newsletters to update you on what we are focusing on and topics of interest as well as candidate information leading up to elections.


                                       
Thanks again for showing your support for the ONLY NATIONAL INDIGENOUS PARTY IN AUSTRALIA and helping to get FIRST NATIONS VOICES IN PARLIAMENT
A copy of your responses will be emailed to the address you provided.
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