Membership Registration Please complete the form below.On receipt of your Membership Registration and Subscription [You can pay online at ShopNow, at the top of the page] you will receive, within a 7-working day period details of the Party's Programmes, Services and Benefits. Full Name * Address* Postcode* Email address Telephone Contact Gender* MaleFemale Are you on the Electoral Register? Yes No, Pls send me details If Yes, Where? I am willing to Canvass/ Promote the PLC Party act as a Party Agent act as a Party Organiser stand as a Candidate at the Local or Parliamentary Election sit on any of the Committees act as an Election Communication Officer act as a Party Fundraiser as a Volunteer in any Administrative capacity act as a Campaigns Officer Date of Registration {D/M/Y}* Please enter the phrase as it is shown in the box above.
	February 22, 2012	[ Email this page to a friend ]