Join Victorian Socialists

Current Contact Information
Payment
Complete

Your name

First name

Middle name

Last name

Name as it appears on the electoral roll

This form assumes you are eligible to be part of the Victorian Socialists' electoral submission. If you are not, and still wish to support, please uncheck and contact members@victoriansocialists.org.au to discuss.

My name on the Electoral Roll is the same as my name given above

Given name(s)

Last name

Your information

Phone number

Birth date

If you are a worker, what industry are you working in?

If you are a union member, what union are you a member of?

If you are a student, which campus or school are you enrolled at?

Residential address

Find your residential address

Street address

Suburb

Postcode

State

Address as it appears on Electoral Roll

My address on the Electoral Roll is the same as my residential address

Find your electoral address

Street address

Suburb

Postcode

State

Select your annual membership fee

$24 - Concession

$84 - Regular

$168 - High-waged

$252 - Solidarity

Note that this donation will annually recur, however you can cancel it at any time.