Application for Supporter Membership

Please help me gain “party status” by becoming a Supporter Member.

I require 500 names and addresses from the Electoral roll to support my nomination and gain “party status” as an INDEPENDENT candidate for the senate in the 2016 Federal Election.

Membership doesn't mean you can't vote for your favourite party to win government.

You can vote for your favourite party in the lower house to win government, and vote 1 for Julie Matheson in the Federal Senate for Western Australia.

To be a supporter member you must be on the Australian Electoral Roll and fill in the application form below with the same details.  You can check your election enrolment here: https://oevf.aec.gov.au/

Please complete your membership details here:

Your membership fee can be paid via funds transfer to:

BSB:  066 125

Account Number: 1042 1873

Thank you for your support.

Standing up for Western Australia in the Senate

Standing up for Western Australia in the Senate

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