Join UKIP Application Form
COST £20 PER YEAR -STUDENTS / NON WORKING PEOPLE £10
Please print off and send in, we will be delighted to receive your support.
Complete our membership form and post to address stated below.
New Membership, Membership Renewal and Donations by cheque to the United Kingdom Independence Party.
The Party believes that our Parliament should be directly and solely accountable to the electorate of the United Kingdom, not subservient to the political institutions of the European Union. Continued membership of the European Union is totally incompatible with this principle. Furthermore, the party will campaign to restore accountability at all appropriate levels of government in order to re-establish electorate's confidence in our democracy at both local and national level.
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Date of birth ( Optional )...................................................................
Parliamentary constituency -If known...............................
Indicate here whether you would be interested in:
[ ] becoming an active member of a local branch
[ ] standing as a candidate
[ ] assisting in campaigns/leafleting
Donation to UKIP : £ { }
Membership subscription:
One year's membership : £20 { }
Student/Pensioner : £10 { }
Total enclosed; £...................................
Please make cheques payable to UKIP and post to:
Membership secretary; Ann Rapnik 94 Stroud Green Drive Bognor Regis P021 5TJ
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See also contact page if required,
if you would rather contact UKIP directly and join, please feel free to do so;
UKIP Head Office
PO Box 408
Newton Abbot
Devon
TQ12 9BG
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TEL. 01626 831 290 FREEPHONE 0800 587 6 587 |
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FAX. 01626 831 348 |
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| Website : www.ukip.org e-mail: mail@ukip.org |