How to Get Involved

NT Republican Movement

How to Get Involved

Please print of Membership Application and return to:

NT Republican Movement

79 Byrne Crt

Moil NT 0810

APPLICATION FOR MEMBERSHIP OF:-

N.T. REPUBLICAN MOVEMENT

(1)   MEMBERSHIP IS FREE (BUT NOT AUTOMATIC)

(2)   DO YOU SUPPORT THE BROADER THRUST OF DEMOCRATIC GOVERNMENT THROUGH A PEOPLES CONSTITUTION FOUNDED ON TRUTH, JUSTICE AND LIBERTY? YES/N0

(3)   (a)      FULL MEMBERSHIP (NT Resident 18+)

       (b)      JUNIOR MEMBERSHIP (NT Resident -18)

       (c)      ASSOCIATE MEMBERSHIP (Non NT Resident)

NAME____________________________________________

ADDRESS_________________________________________

_________________________________________

PHONE WORK_______________________HOME_______________________

MOBILE______________________

E-MAIL___________________________________________

SIGNATURE______________________________ DATE____________

ARE YOU WILLING TO HELP ORGANISE YES/NO

WHAT SKILLS DO YOU HAVE eg...

COMPUTER, ARTWORK, PROOFREADER, LAWYER, STATISTICIAN, LETTERDROPS, ERRANDS etc.....

(1)_______________________________________________

(2)_______________________________________________

other______________________________________

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