Pensioners Party Joining Page

This column for free associate membership.

Both columns for full or life time membership.

Fill in all 8 boxes or the form will fail.
1. First name
2. Last name
3. email
4. email
5. Region
6. County


House No / Name
Street address
Town/Area
Postal code
Home Phone
Mob no
Date of birth
Occupation	or previous experience
Business Phone
Passport photo for potential candidates - please restrict your image size to 50kb. Click on 'Browse' and locate your image on your computer. [jpg-jpeg-gif-png-bmp] If you have problems please email.
Image
Comments	Please provide any comments you might have.

7. Please select the applicable button below.
Associate Membership [Free]
Full Membership [£10.00]
Life Member [£50.00]

8. Tick box to ACCEPT the [terms/conditions] & [privacy policy]

Prior to SUBMIT button would you like to fill in the right hand box?

Please !!!CHECK!!! have you filled in the 8 items of information.

Having completed the form, read the terms,
conditions, the privacy policy, please push the SUBMIT button ONCE,
this will then automatically take you to the Payment page.
Free memberships can just navigate away from the Payment page.