Renew Your Membership Please complete the form below to renew your membership. Membership Fee * Ordinary - $ 25.00: per annum Concession / Low Income - $ 10.00: per annum Supporter Member - $ 0.00: Supporters agree to help us with AEC registration requirements but cannot vote in internal party ballots. Please renew my membership automatically. Membership will renew automatically. Donation Add an optional donation to your membership. NOTE: Any amount you nominate will be added to your membership payment today and any subsequent renewals. If you would rather make a single, one-off donation, please use the "Donate" link on the website after you have paid for your membership. Total Amount Member Details First Name * Middle Name Last Name * Electoral Status * Yes No Silent Elector Are you on the Australian electoral roll? Email * Birth Date Landline Mobile Phone * Residential Address Street Address * Address Line 2 City, Town or Suburb * Country * - select Country - Australia State * - select State/Province - Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Postal Code * Are you a member of another political party? Member of Another Party * Yes No Declaration Declaration * Yes I consent to being a member of the Australian Democrats and agree to comply with the Constitution of the Australian Democrats My billing address is the same as above Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - Australia State/Province - select State/Province - Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Postal Code Continue
