Membership Checkout

Membership Level change
You have selected the Regular membership level. Membership with payment set for a waged person. The price for membership is $60.00 now. Membership expires after 1 Year. Make a Gift $ Your donation will help the ACP to have more influence.

Membership Level change

You have selected the Regular membership level.

Membership with payment set for a waged person.

The price for membership is $60.00 now.

Membership expires after 1 Year.

Make a Gift $
Your donation will help the ACP to have more influence.

Account Information Already have an account? Log in here
Username Password Confirm Password E-mail Address Confirm E-mail Address Given name * Middlename(s) Family name * Address 1 * Address 2 Town or suburb * State * Postcode * Country * Phone (mobile preferred) * Date of birth * Must be in this format please: 28/04/1978 (As required by the Australian Electoral Commission). Sex Full Name LEAVE THIS BLANK

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More Information

type of cycling *

type of bike *

Motivation

Other

Declarations Please tick all boxes to become a member of Australian Cyclists Party

I hereby apply to become a member of The Australian Cyclists Party *

I declare that I am not a member of another political party *

I declare that I am enrolled on the electoral roll at my address as shown above *

I consent to my membership details being sent to the AEC or the relevant State Commission and to being contacted by the commission about my membership of this political party if so required *

For NSW residents only: I have downloaded completed and signed the NSW Declaration of Party Membership form and have emailed it to: Angus@icycleivote.com

Things I can do to help:

Help at polling booths and distributing leaflets

Attend meetings

Become a candidate - stand for election and effect change

Fundraise - crowd funding and more

Billing Address
First Name Last Name Address 1 Address 2 City State Postal Code Country Phone

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