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Join Us New

Social Credit Party New Membership Application  
    
If there is more than 1 person signing up, please fill out a seperate form for each person.
Please enter your full name including middle names




Please enter your physical address as shown on the electoral roll








Please select one option from the drop down list
If you chose "other" please provide this information

Years and Months

Please check the boxes to confirm that you accept each of the conditions listed below.








To confirm that you are not a Robot, please type Social Credit in the field below.

             If you want
  - Better Housing            - More Say
  - Better Roads                - Lower Rates
  - Better Health Care     - Less Tax
  - Better Education        - Clean Rivers
                      


© Copyright 2018
Social Credit NZ
Authorised by Anne Leitch, Secretary
42 Reyburn House Lane, Whangarei
If you want
 - Better Housing
 - More Say
 - Better Roads
 - Lower Rates
 - Better Health Care
- Less Tax
 - Better Education
- Clean Rivers
                    
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