UKIP Membership Form
Please fill-in this form on screen using your mouse and keyboard.
Print two copies, then sign and date them. You will find a "print" button at the bottom of the form.
Keep one copy and post one to:
Membership Secretary, Greenwood Cottage, Polmoria, Wadebridge, Cornwall, PL27 7JU.
Enclose a cheque made payable to North Cornwall UKIP.
Required items *IMPORTANT: Membership is subject to the terms and conditions given at the end of this form. Click Terms & Conditions
Membership is subject to the terms and conditions as follows:
By applying for membership of UKIP, I agree: To abide by the UKIP Constitution and the Terms and Conditions of Membership (available here). I am not and have never been a member of the British National Party, National Front, British Freedom Party, British People's Party, English Defence League, Britain First or the UK First Party. UKIP reserves the right to reject applications or terminate memberships if these criteria are not met.
Newton Abbot, Devon, TQ12 6UT (Form downloaded from www.ukipdevon.org.uk)