Join the Green Party of England and Wales

Application Form for Membership
 

Single
Waged £31
Low/unwaged £10.50
Student £5
Life £400
 

Joint
Waged £41
Low/unwaged £14
 
Life £530

Yes, I/we accept and wish to further the aims of the Green Party and do not belong to any other political party.

I/we enclose a subscription of: £ .........

I/we enclose a donation of: £ .........

I/we enclose a cheque/postal order for £ ......... payable to The Green Party

Please debit my/our Access/Visa/Switch ( delete as appropriate )

Card number:   for £ .........

Card expires: /   Switch Issue no:

Signature(s):

Name(s):

Address:

 
Postcode:

Telephone number(s):

Email:

S end this completed form to:

The Green Party, 1a Waterlow Road, LONDON N19 5NJ (stamp required)
or The Green Party, Freepost Lon 6780, LONDON N19 5BR (no stamp required)