Join People's Party New Zealand | Membership Application

Membership application

Apply to Join PPNZ Inc.

Complete the application below. You can download a copy, print it, or prepare an email after entering your details.

Member details

Full name Date of birth Residential street address Do not enter a PO Box address.Suburb, town or city Telephone number Email address

Enrolment details

Are you a registered elector?Electorate Eligible to enrol if not registered?Eligibility statusYears lived continuously in NZ Months If living overseas, date last in New Zealand

Membership declarationsI enclose or have paid the membership fee of $10 for one year with this application.I authorise People's Party New Zealand Incorporated to record my name as a financial member.I authorise the Secretary of PPNZ Inc. to release this application and subsequent financial membership details to the Electoral Commission for registration purposes under the Electoral Act 1993.

Typed signature Date

Join People’s Party New Zealand

Apply to Join PPNZ Inc.

Join the Movement. Build a Better New Zealand.