Unlike the other big parties - who rely on big business and trade unions - the Liberal Democrats rely on our members and supporters for funding. All our campaigning is paid for by our individual supporters - please do your bit to help our success even more.

 

We would be grateful if you would complete the form to register yourself as a member or supporter of the Liberal Democrats.

 

For which purpose are you completing this form? (select one):

 

MEMBERSHIP APPLICATION
MEMBERSHIP RENEWAL
SUPPORTER'S DONATION

Your name

E-Mail

Address

House/Street

Town

County

Post Code

Telephone Number

One year's membership (or donation)

£35.00

£28.00 (Recommended)

£20.00

£5.00

£4.00 (Students only)

Other - please specify

Method (Choose one)

Call me for my credit card details

Please send me a direct debit form

Please send further details to the address above

  Occupation (or former occupation)

 

Anything you feel might be of interest

 

You may be interested in helping in practical ways such as:

donating money occasionally
delivering some Focus leaflets occasionally
helping out on election day
entering computer data
helping with fundraising or social events
clerical work
conducting surveys
recruiting new members
canvassing voters
other

 

Thank you for completing this form. Someone will get back to you in the next couple of days.

Please now your application or it