Join the Science Party and make a difference!

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 website to check your enrolment details.

First Name *

Middle Name

Last Name *

Date of Birth *

Phone *

Email *

Address

Street Address *

Unit / Apartment Number (if applicable)

Suburb *

Postcode *

State *

(* Required)

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.

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