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April 08 ROBERT'S ~ UKIP MEMBERSHIP FORMS*********************************************************
"MR. ROBERT H. BROWN"
of the
UK Independence Party
for N.W. Cambs.
Membership Application Form & Renewals
*****************************************
The general public are now beginning to wake-up to what's happening to their country.
We need to increase our membership numbers ... so that we can
educate more people to let them know the truth ...
and let them know their is a solution ...
Encourage your friends to join us,
to win our freedom's back.
We always need more new members and foot soldiers to swell our numbers ...
who will stand up and be counted for what is right !
*******
Act Now ... Print this membership form below ... Fill in the Details ... and send it Off ...
... To Me At:~ Robert H. Brown
'NW CAMBS UKIP BRANCH'
12 Lancaster Road,
Upwood, Ramsey,
Cambs. PE26 2PX.
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Send New Membership, Membership Renewal and Donations by Cheque made payable to:
 U.K. Independence Party.  -------------------------------------------------------------------------------------------------------------
The party believes that our Parliament should be directly and solely accountable to the eletorate of the United Kingdom, not subservient to the political institions of the European Union. Continued membership of the European Union is totally incompatible with this principle. Furthermore, the party will campaign to restore accountability at all appropriate levels of government in order to re-establish electorate's confidence in our democracy at both local and national levels.
Title ......... Forename(s) .....................................................Surname .......................................................
Date of Birth ................................
Address ...........................................................................................................................................................................................................................
Town .......................................................... County ................................................ Post Code .......................................
Telephone (Day) ....................................... (Evening) ............................................ Mobile ............................................
E ~ Mail .................................................................................................................................................................................
If you can help or assist in anyway, please indicate in the list below with a tick:
Stand as a candidate at election time ....... Serve as an Election Agent .......
Serve on the committee ....... Help leaflet ....... Help man a stall .......
Write articles ....... Help man telephones etc, during campaign .......
Help out at public meetings ....... Research topics .......
Or none of the above - non-active member only .......
MEMBERSHIP TYPE & MEMBERSHIP NO: (If Known) ..................................
Regular £20 ....... Student £10 ....... Pensioner £10 ....... Disabled/Unemployed £10 .......
Optional donation £ .............. TOTAL ENCLOSED £ ......................
Final Question, Are you on the electoral register in the UK ? Yes ....... No ....... Don't Know .......
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Please print two copies at least, keep one for your records, and send the other (along with your cheque) to the above address.
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N.W. CAMBS U.K. INDEPENDENCE PARTY BRANCH.
Thank You !
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