What is your name

As it appears on the NSW electoral Roll

Prefix Please select your prefix

First Name Please enter your first name

Middle name(s)

Last Name Please enter your last name

Your Date of Birth

DOB

Please select a valid date

Would you like to join the Party as a Young Liberal?

Yes No

Are you applying for single or joint membership?

Single Joint

What is the second applicant's name?

As it appears on the NSW electoral Roll

Prefix Please select second applicant prefix

First Name Please enter second applicant first name

Middle name(s)

Last Name Please enter second applicant last name

What is {{applicant2.first_name}}'s Date of Birth?

DOB

Please select a valid date

{{applicant1.first_name}}'s Contact Information

Email Please enter a valid email

Mobile number Please enter your mobile phone

Home number Please enter your home phone

You must enter in a valid Australian mobile number, if you do not have one then please complete a manual join form or call 02 8356 0300.

{{applicant2.first_name}}'s Contact Information

Email Please enter a valid email

Mobile number Please enter {{applicant2.first_name}}'s mobile phone

Home number Please enter {{applicant2.first_name}}'s home phone

You must enter in a valid Australian mobile number, if you do not have one then please complete a manual join form or call 02 8356 0300.

Your Electoral Roll Details

Electoral Roll Address

Unit No and/or Street No Please enter your street number

Street name Please enter your street name

Street type Please enter your street type

Suburb Please enter your suburb

State Please enter your state

Postcode Please enter your postcode

We haven't been able to verify that your name matches your electoral role address, please ensure you have entered your electoral role address and name correctly. To check your Electoral Roll address please go to: https://check.aec.gov.au/

We haven't been able to verify that your name matches your electoral role address, please contact us on (02) 8356 0300 during office hours to continue your application.

You are not able to complete the application process. Please contact (02) 8356 0300 to discuss your application.

Please tick this box if your electoral roll details are the same as above.

Electoral Roll Address

Unit No and/or Street No Please enter your street number

Street name Please enter your street name

Street type Please enter your street type

Suburb Please enter your suburb

State Please enter your state

Postcode Please enter your postcode

We haven't been able to verify that your name matches your electoral role address, please ensure you have entered your electoral role address and name correctly. To check your Electoral Roll address please go to: https://check.aec.gov.au/

We haven't been able to verify that your name matches your electoral role address, please contact us on (02) 8356 0300 during office hours to continue your application.

You are not able to complete the application process. Please contact (02) 8356 0300 to discuss your application.

Your Postal Address Details

Please tick this box if your postal address same as electoral roll details as above.

Postal Address

My postal address is a PO Box address

Unit No and/or Street No Please enter your street number

Street name Please enter your street name

Street type Please enter your street type

PO Box Details Please enter your PO Box details

Suburb Please enter your suburb

State Please enter your state

Postcode Please enter your postcode

We haven't been able to verify that your name matches your electoral role address, please ensure you have entered your electoral role address and name correctly. To check your Electoral Roll address please go to: https://check.aec.gov.au/

We haven't been able to verify that your name matches your electoral role address, please contact us on (02) 8356 0300 during office hours to continue your application.

You are not able to complete the application process. Please contact (02) 8356 0300 to discuss your application.

Please tick this box if your postal address same as electoral roll details as above.

Postal Address

My postal address is a PO Box address

Unit No and/or Street No Please enter your street number

Street name Please enter your street name

Street type Please enter your street type

PO Box Details Please enter your PO Box details

Suburb Please enter your suburb

State Please enter your state

Postcode Please enter your postcode

We haven't been able to verify that your name matches your electoral role address, please ensure you have entered your electoral role address and name correctly. To check your Electoral Roll address please go to: https://check.aec.gov.au/

We haven't been able to verify that your name matches your electoral role address, please contact us on (02) 8356 0300 during office hours to continue your application.

You are not able to complete the application process. Please contact (02) 8356 0300 to discuss your application.

{{applicant1.first_name}}, please read below carefully and confirm

I declare that I am not a member, present or past, of another political party.

I declare that I have never stood against, or assisted someone who stood against a Liberal endorsed Candidate in a Federal, State or Local Government election.

If you are unable to make these declarations you are unable to proceed with your application online. Please contact us on 02 8356 0300 during office hours.

{{applicant2.first_name}}, please read below carefully and confirm

I declare that I am not a member, present or past, of another political party.

I declare that I have never stood against, or assisted someone who stood against a Liberal endorsed Candidate in a Federal, State or Local Government election.

If you are unable to make these declarations you are unable to proceed with your application online. Please contact us on 02 8356 0300 during office hours.

Please choose your level of Membership:

Please note, the below prices are for the joint membership of you and your partner.

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Please select {{applicant1.first_name}} membership

Please select {{applicant2.first_name}} membership

Retired superannuants, Pensioners and Students must provide proof to gain concession rates.

{{applicant1.first_name}}, please upload your proof of concession here Please select a file

{{applicant2.first_name}}, please upload your proof of concession here Please select a file

Membership Options

I would like to join as a

Branch Member General Member

Please select a branch type

I would like to join as a

Branch Member General Member

Please select a branch type

Membership Options

I would like to apply to join the Please select a branch

Membership Declaration

Are you a prohibited donor under the Election Funding, Expenditure and Disclosures Act 1981?
Click here to find out more.

Yes

No

Are you a lobbyist registered under the NSW Register of Third Party Lobbyists or the Australian Government Register of Lobbyists?

Yes

No

Have you previously been a member of the Liberal Party of Australia?

Yes

No

If so, have you ever been suspended or expelled from the Party?

Yes

No

If you answered yes, please provide details.

Please provide details

Are you a prohibited donor under the Election Funding, Expenditure and Disclosures Act 1981?
Click here to find out more.

Yes

No

Are you a lobbyist registered under the NSW Register of Third Party Lobbyists or the Australian Government Register of Lobbyists?

Yes

No

Have you previously been a member of the Liberal Party of Australia?

Yes

No

If so, have you ever been suspended or expelled from the Party?

Yes

No

If you answered yes, please provide details.

Please provide details

Proof of ID

{{applicant1.first_name}}, upload your proof of ID. This can be a photo of your drivers licence, proof of age or passport. Please select a file

{{applicant2.first_name}}, upload your proof of ID. This can be a photo of your drivers licence, proof of age or passport. Please select a file

Donation – Optional

WeI would like to make a donation in support of the Liberal Party to compete against the enormous resources of the union backed Labor Party.

Donation Details

* WeI would like to donate

$25 $50 $100 $500 $1000 No Donation

Insert Other Amount Please enter a valid number

Please tick this box if you are interested in making a monthly donation to the Liberal Party NSW.

Payment Declaration

WeI acknowledge that a membership fee may only be paid by the applicant or the applicant’s spouse or parents (provided that the person effecting payment is enrolled to vote in Federal or State elections in NSW).

WeI would like to renew our membership automatically each year.

WeI acknowledge that the membership year of the Liberal Party is from 1 July to 30 June. WeI understand this payment covers my membership from now until the end of the current financial year.

WeI agree to be bound by the Constitution of the Liberal Party of Australia, NSW Division.

Payment Information

Amount Payable

${{payment.membership.amount | decimal}}

* Payment type

* CARD TYPE

Please select a card type

* CARD NUMBER

Please enter a valid card number

* CARD HOLDER NAME

Please enter the card holder's name

*EXPIRATION DATE

*CCV

Please enter the CCV

* BSB

Please enter the BSB

* Cheque number

Please enter the Cheque Number

* Account holder's name

Please enter the Account Holder's Name

* Cash account

Please select Cash Account

No other payment details are required

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Thank You

Thank you for applying to join the NSW Liberal Party. You will shortly receive a confirmation email with details of how you can track the progress of your application, along with your receipt for payment of your membership fee.

If you have any questions regarding your application, please contact our Membership Team by email at membership@nsw.liberal.org.au, or by phone on (02) 8356 0300.

What is your name

Your Date of Birth

What is the second applicant's name?

What is {{applicant2.first_name}}'s Date of Birth?

{{applicant1.first_name}}'s Contact Information

{{applicant2.first_name}}'s Contact Information

Your Electoral Roll Details

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Your Postal Address Details

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{{applicant1.first_name}}, please read below carefully and confirm

{{applicant2.first_name}}, please read below carefully and confirm

Please choose your level of Membership:

Retired superannuants, Pensioners and Students must provide proof to gain concession rates.

Membership Options

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{{applicant2.first_name}}

Membership Options

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Membership Declaration

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Proof of ID

Donation – Optional

Donation Details

Payment Declaration

Payment Information

${{payment.membership.amount | decimal}}

Thank You

Transaction Reference Number: {{payment.result.valid.reference_number}}

Amount Paid: ${{payment.result.valid.amount_paid | decimal}}

Your Progress