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Membership Application Form
(Fee is £1 per annum)
Name
Address
Postcode
Date of Birth
Telephone
Email Address
Additional Comments
I confirm that ...
all the information is accurate to the best of my knowledge and belief.
I fully support the constitution of Hartlepool Independents - putting Hartlepool First and understand that as a Member of Hartlepool First I am committed to local decisions being made without being influenced by national party policies.
I agree that Hartlepool First and its officers can hold and use information and data about me in the pursuit of the aims of the party.