Join the Science Party and make a difference

Please fill out your details as they appear on the electoral roll. Visit the Australian Electoral Commission to verify.

Given Name/s*

Middle Name

Family Name*

Date of Birth*

Email*

Mobile*

Phone*

Street Address*

Unit / Apartment Number (if applicable)

Suburb*

Postcode*

State*

I would like to volunteer

I confirm that my details match those on the electoral roll.
I declare that I will abide by the terms of the party constitution as published on the party website.
I declare that I am not a current member of any registered Australian political party.
I consent to being contacted by the Science Party to verify my membership application.
I am aware that it is a serious offence to make a false declaration.