Membership Information

Joining the Young Liberals is easy!
Just complete the form below to have the Membership VP contact you !

Title:

First Name:

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Surname:

Email:

Home Phone:

Work Phone:

Fax:

Mobile:

Postal Address:

Suburb:

Postcode:

Your Occupation:
If you are a student, please state your University, Degree and Year. If you occupation is not listed, please state it here.

Date of Birth:

Why do you want to join the Young Liberals?

Please tell us a little bit of information about yourself:

Which of the following are your areas of interest:

Social Functions
Elections/Campaigns
Sporting Competitions
Running for Student Office
Public Speaking
Policy
Guest Speakers (MPs etc)
Working in a political office
Other - please specify below:

Policy Areas you are interested In:

Aboriginal Issues

Communications / Technology

Economic Policy

Education

Environment

Government Spending

Health

Industrial Relations

Law and Order

Taxation

Rural Areas

Trade

Women's Rights

Other - Please Specify

Other Questions or Comments:

I prefer to be contacted by: email phone