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Membership

Please fully complete the form below. Note that the details that you provide will be passed to PayPal exactly as you enter them here. Please ensure that your name and address details match those of the credit or debit card that you intend to use to make your payment, so that we may verify your address.

Title

Forename(s)

Surname

Address

Address line two (if required)

Town or city

County

Postcode

Country

Email address

Telephone

Password
In the near future, we will be providing a facility to allow you to amend your details and renew your membership online. To permit you to do this securely, we require that you choose a password to use to access your details. We store your password in encrypted form only, so please also enter a hint that we can give you should you forget your password.

Password (at least four characters)

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Password hint

Declaration
By submitting this form, you are declaring that the above details are true and accurate; that you agree to observe the terms of the Constitution of the Libertarian Party; that you are not currently a member of any other UK registered political party; and that you have read the note on contact details, below.



Note On Contact Details
We may use the details that you have provided to contact you in relation to Party activities; for example, to send you an occasional email newsletter. If you would prefer us not to use your details in this way, please contact us at members@lpuk.org to request otherwise. We will not share your details with any third party other than PayPal.