Community Preselections Participation

Please complete this form to participate in Community Preselections as a Community Preselector or Community Representative (Candidate).

You will need to declare that you are not a current or recent member of Labor, Liberal, National, or Green parties.

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Name

Address

Telephone

Federal Electorate

Are you a current or recent member of the Labor, Liberal, National, or Green parties? If you are a member of any other political party, please tell us.

Date of Birth (We are not interested in your age, this is solely for the purpose of electoral roll validation for Electoral Commissions)

Tell us about yourself and your political interests

Payment - EFT to CBA, BSB 062 218, Account 1007 2945

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