Please fill out this form, whether you are joining for the first time or renewing. If you are from Victoria or NSW you shouldn't be on this page ... these two states have state based membership software.First Name*Your name should be entered as it appears on the electoral roll. If it is James, and people call you Jimmy, then please enter James as your First Name. You can put Jimmy below as your preferred name.Middle NameLast Name*Preferred first nameApt, Suite, Building (optional)Street Address*SuburbCity or Town*Post Code*State*Select a stateACTQueenslandSouth AustraliaTasmaniaWestern AustraliaPreferred Phone*Work PhoneAn alternative phone number, usually a work numberEmail* Enter Email Confirm Email Date of Birth* Your date of birth helps us to know if you are of voting age, whether you may want to staff polling booths and the like.Can you help the party to help animals in any other way? Organising or helping at events ￼Organising or helping to fundraise ￼Letter boxing ￼Door-knocking ￼Collecting petition signatures ￼Displaying AJP banner on my property ￼Hand out of ‘how to vote cards’ ￼Phone canvassing ￼IT, web development ￼Graphic design or photography ￼Marketing or communication ￼Social media management ￼Media liaison ￼Policy development ￼Legal expertise ￼Book-keeping ￼Other Tick the boxes above to tell us what activities you’d like to participate in, or what skills you can offer the AJP to help us give animals a voice in Australia’s political system:Special Concerns Live Export ￼Rodeo ￼Animal Circus ￼Factory farming ￼Dog fighting ￼Hunting (traditional, ducks, pigs, kangaroos) ￼Culling (killing) of wildlife ￼Culling (killing) of wild animals (dogs, cats, deer) ￼Shark culling (killing) ￼Greyhound racing ￼Flying foxes culling and dispersals ￼Horse racing ￼Companion animal breeding and selling ￼Animal testing ￼Puppy mills ￼Climate change and impacts ￼Embedding compassion for animals education in schools ￼Promoting veganism and cruelty-free and compassionate living ￼Other Other ...￼If you answered 'other' to any of the above, please tell us what and why...Electoral Commission Declaration*Yes, I confirmNo, I am not yet old enough to voteNo, I am ineligible to vote for other reasonsI wish to become a member of the above political party. I am eligible to enrol for Federal elections i.e. I am 17 years of age or older, I am an Australian citizen (or British citizen who was on the Australian electoral roll on 25 February 1984) and I have lived at the above address for at least one month. I consent to this form being forwarded to the Australian Electoral Commission (AEC) in support of the party’s application for registration as a political party. I declare that the information I have given on this form is true and compete. ￼ Membership Price: $ 20.00 Includes GSTAuto Renewal Yes, automatically pay my membership annually You can have your membership paid automatically every year. You will receive an emailed receipt each year and can cancel at any time.Donation (Optional) Donations are GST free.Credit Card MasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Security Code Cardholder Name Membership is $20 annually. This iframe contains the logic required to handle Ajax powered Gravity Forms.