THE AUSTRALIAN ANTI-PAEDOPHILE PARTY

Here is a new political party we should all support, please fill in the registration form below and send it in...

1. I am an Australian citizen, registered to vote in Federal elections.

2. I am not relied upon by any other registered political party in Australia for my vote.

3. I agree with the stated aims of the Australian Anti-paedophile Party and will be prepared to vote for this party during the next Federal Parliamentary Elections.

4. I am not a sex offender.

APPLICATION TO JOIN THE AUSTRALIAN ANTI-PAEDOPHILE PARTY PO Box 1931 Grafton NSW 2460

NO MEMBERSHIP FEE.

I hereby apply to become a member of the Australian Anti-paedophile Party, I have read the stated aims of the party and I agree with them.

First Name: Last Name: Street Address:

Suburb/Town State:
Postal Address (if different) Home phone: Mobile:

........................................................................................... ........................................................................................... ........................................................................................... ........................................................................................... ........................................................................................... ........................... Post code: ..................................... ........................................................................................... ........................................................................................... ........................... Work phone: ..................................... ........................... Email: .....................................

Signature: ............................................................ Date: ....../....../......