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The Democratic Party is a grass roots operation. Help us to return Britain to
Democracy by joining with other ordinary men and women who put the good of their
country before the party. A subscription of £15.00 ensures membership until 31st
December 2007. Please print this membership application form, complete and send to: The Democratic Party
Enigma House
Enigma Business Park
Malvern
Worcestershire WR14 1GD
The Democratic Party is a Private Company Limited by guarantee (No. 3541915)
PLEASE COMPLETE USING BLOCK CAPITALS
Title: (Mr./Mrs./Miss/Ms./Dr./etc.)..................................................................
Name: ...........................................................................................................
Address: .......................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
...............................................Post Code:......................................................
Tel/fax No:......................................................................................................
Email: ............................................................................................................
Web page:......................................................................................................
I enclose a cheque/postal order for my subscription of £....................................
(Single:£15.00/unwaged: £7.50)
made payable to: The Democratic Party
I accept and support the aims of the Democratic Party.
Signed:.............................................................................................................
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