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Membership Form




Membership Type:



Are you on the Electoral Register in the UK? (This has implications for donations you may make to us)



Please mark the checkboxes below if you can assist in any way:













Now print two copies of this form. Sign and date them. Keep one for your records, and send the other (along with your cheque) to the following address:

UKIP,
2 Castlemews,
Ringwood,
BH24 2BG

Queries? Tel: (01425) 471 752