A party for all Australians

Australian Labor Party (SA Branch)141 Gilles Street, Adelaide SA 5000

Telephone 8418 6700 Fax 8418 6701

Email info@sa.alp.org.au Website www.sa.alp.org.au

Make Labor your Party

ABN 48 233 806 788. Authorised by K Maher, 141 Gilles St, Adelaide SA 5000. Printed by Europa Press, 7-9 Osman Place, Thebarton SA 5031.

A fair goThis is something all Australians believe in and it is something the ALP has fought for over the past one hundred years.

As a party for all Australians, Labor has introduced many of the changes that make Australia a fair and better place in which to live and work.

Great achievements

38-hour week, superannuation and Medicare. Labor governments won and defended these valued parts of Australian life.

When you make a choice to vote Labor, you are choosing to vote for a fairer, more just Australia.

But politics is about more than voting in elections.

We need people to take part in shaping Australia’s future in the 21st century.

We need your ideas, your input and commitment.

Having your say

It’s up to you how much you participate. As a democratic party, there are regular meetings of Labor members in your area where you can have your say and discuss everything from local community issues to national affairs of state.

Your concerns will be heard by Labor Members of Parliament and you can play an active part in working out our policies.

Have a say in Australia’s future.

AustralianSouth

AustralianSouth

ALP (SA Branch) Membership Application

TITLE ❑ Mr ❑ Mrs ❑ Ms ❑ Dr ❑ Other

GIVEN NAMES

SURNAME

PREFERRED NAME

RESIDENTIAL ADDRESS

The Street Address where you are enrolled with the Australian Electoral Commission.

POSTAL ADDRESS

PHONE (Home)

PHONE (Work)

MOBILE

FAX

EMAIL

OCCUPATION

UNION

A person applying for membership must be a member of a union, if eligible.

DATE OF BIRTH ❑ Male ❑ Female(Compulsory)

Have you been a member of another political party? ❑ Yes ❑ NoIf yes: Which party? What year(s)?

Have you been a candidate at a Federal (include year resigned)

or State level?❑ Yes ❑ No Year

Are you under 18 years of age? ❑ Yes ❑ No

Are you an Australian citizen? ❑ Yes ❑ No

Are you Aboriginal? ❑ Yes ❑ No

PLEDGEI hereby apply to join the Australian Labor Party (SA Branch). I agree to be bound by the Objectives, Federal and State Platforms and the rules of the Australian Labor Party. I also agree to be bound by decisions of the State Executive taken in accordance with these rules. I declare that this information is true and accurate and that I am enrolled at the address above with the Australian Electoral Commission.

SIGNATURE OF APPLICANT

DATE SIGNED BY APPLICANT

Your membership must be approved by the Credentials Committee, in accordance with ALP Rules.PLEASE PRINT CLEARLY AND COMPLETE ALL SECTIONS.

1. Membership (concessional) ❑ $22 one year ❑ $66 three yearsPlease complete this section. Evidence may be required.❑ Pensioner ❑ Health care cardholder ❑ Full-time student❑ Unemployed ❑ Home duties

2. Membership (union discount) ❑ $44 one year ❑ $132 three years

3. Membership ❑ $55 one year ❑ $165 three years People not eligible for union membership

PAYMENT All fees include GST

My 2012/2013 membership fee is $

Rule Book $10 $

Donation❑ $20 ❑ $50 ❑ $100 ❑ Other $Donations of up to $1500 per year are tax deductible.

Total payment $

❑ Send me details of the automatic membership renewal system.❑ I would like information on making a bequest.❑ I would like information on the True Believers Fund.

PAYMENT OPTIONS

❑ Cash ❑ Cheque ❑ Credit Card ❑ Money order

❑ I enclose a cheque, payable to the ALP (SA Branch) or

Charge the amount of $. . . . . . . . . . . . . . to ❑ Mastercard ❑ Visa

Card No

Cardholder’s Name

Expiry Date Signature

PARTY OFFICE USE ONLY

DATE RECEIVED MEMBER #

IDENTIFICATION

SUB-BRANCH

FEC

Membership Fees 1 July 2009 - 30 June 2012Membership Fees 1 July 2012 - 30 June 2013

PAYMENT All fees and purchases include GST

My 2012/2013 membership fee is $

Rule Book $20 $

Donation❑ $20 ❑ $50 ❑ $100 ❑ Other $Donations of up to $1500 per year are tax deductible.

Total payment $

❑ Send me details of the automatic membership renewal system.❑ I would like information on making a bequest.❑ I would like information on the True Believers Fund.

PAYMENT OPTIONS

❑ Cash ❑ Cheque ❑ Credit Card ❑ Money order

❑ I enclose a cheque, payable to the ALP (SA Branch) or

Charge the amount of $. . . . . . . . . . . . . . to ❑ Mastercard ❑ Visa

Card No

Cardholder’s Name

Expiry Date Signature

PARTY OFFICE USE ONLY

DATE RECEIVED MEMBER #

IDENTIFICATION

SUB-BRANCH

FEC

4. First Time MembershipMust not have been a member of the ALP before and must pay for your membership personally – using your own credit card, transferring funds from

❑ $5 one year

AGENT(e..g. S.A. Branch Official, Union Secretary, MP)