Mailchimp Survey

Application to join the Legalise Cannabis Western Australia (LCWA) Party

To Maintain registration part of the process is to fill out a second form for the Western Australian Electoral Commission do you consent in being sent that form to help the party maintain its registration status
Yes, I consent and will double check my details when filling out the second form
The Legalise Cannabis WA Party We need 500 WA members who are enrolled to vote in WA to complete the application to register the Party with the Electoral Commission.
I'm an Australian citizen living in WA on the electoral rollI'm not an Australian citizen or not living in WA or electoral roll but want to support the party
First name (no nicknames please)
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Surname
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Date of Birth
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Address
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Phone 1
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Phone 2
Email
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Would you be interested in volunteering
Yes