Western Australia Party

Thank you for your application to join the WESTERN AUSTRALIA PARTY

It's FREE to join.

Please complete your electoral roll information below and select the type of Supporter Membership you require. Your family members can join too if they are age 18 and over. If you have any questions call 0499 949 419. Thank you.

* indicates required

Title *

Mr, Mrs, Ms, Dr, Prof

First Name *

Middle Name

Surname *

Date of Birth (dd/mm/yyyy) *

Email *

Membership Type *

Active Member. Tell me more about joining the Executive Committee.
Be a Candidate at the next election
Silent Member. Just joining to help with membership numbers.

Please select one

Policy interests? *

Tell us about your interests.

Electoral Roll Street Address *

Suburb *

State *

Western Australia

Post Code *

Phone Number *

Mobile or landline

Join the Western Australia Party