Declarations and signature

I wish to renew my membership to WA Labor and hereby authorise WA Labor to debit my card/account in accordance with the table above, and to continue deducting payments from my card/account in accordance with WA Labor's Rules until I request otherwise in writing.

I declare that I am not a member of any other political party and that I will abide by the Rules of the Party

Tick the below if you have ever:

Been expelled form the party

Been a non-ALP candidate for parliamentary office

Campaigned on behalf of a non-ALP candidate

Previously resigned from the party

Are or were a Member of any Parliament

Are serving a custodial sentence

Payment

$25

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Membership Update

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Declarations and signature

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