$25 Annual Membership
I apply for Associate Membership to the Informed Medical Options Party and declare that I am on the Commonwealth Electoral Roll and I am committed to the aims of the Party. (Please ensure after submitting the form below you select your payment option).
NOTE: Please ensure you have clicked on "SUBMIT FORM" and it displays
"THANKS, YOUR SUBSCRIPTION HAS BEEN SENT". If not displayed, please resend.
Thank you for membership. To make your $25 payment, please choose from one of the following payment options: