Join Us New

Social Credit Party New Membership Application

If there is more than 1 person signing up, please fill out a seperate form for each person.

Please enter your full name including middle names

Mr/Mrs/Ms/Dr*

First Name*

Middle Names

Last Name*

Please enter your physical address as shown on the electoral roll

House Number And Street*

Suburb*

City*

Post Code*

Postal Address (if different from above)

Home Phone

Mobile Phone

Email Address*

Please select one option from the drop down list

If you chose "other" please provide this information

Status*

Years and Months

I have lived in New Zealand for

Please check the boxes to confirm that you accept each of the conditions listed below.

Eligible To Enrol*

I confirm that I am eligible to enrol as a New Zealand Parliamentary elector.

I agree

Authorise To Record My Name*

I authorise the Social Credit Party to record my name as a financial member of the Social Credit Party.

I agree

Release To Electoral Commission*

I authorise the secretary of the Social Credit Party to release this application form and subsequent financial membership details to the Electoral Commission for the purposes of the Social Credit Party registration under the Electoral act 1993.

I agree

Conditions Of Membership*

The annual membership subscription is NZ$15.00 per person (or NZ$5 unwaged).
Membership is provisional until approved by the Social Credit Party in accordance with the Party Constitution.  Membership will not be completed until all fees have been received.
By joining the Party via this page you agree to accept and be bound by the Rules and Constitution of the Social Credit Party.
The personal information you have provided will only be used for party records and contact with you. It will not be shared with any outside person, group, or organisation other than the Electoral Commission as specified above.
Refunds will be provided at the discretion of the Social Credit Party. 
For further information or enquiries please contact us. secretary@socialcredit.nz

I agree

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