$25 Annual Membership

I apply for Full Membership to the Informed Medical Options Party, as outlined in the constitution, 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).

Address Line 1

Address Line 2

City

State

Postcode

Country

Date of Birth *

Phone Number *

Email address *

How did you hear about us?

NOTE:

All political parties without representation in the Australian parliament are currently subject to an AEC audit. So we need to ask the questions as follows:

1. Are you currently enrolled with the AEC? Please note that your membership details with us must match your membership details with AEC. If you are not sure, you can check at: https://check.aec.gov.au/ (note include all given names you have provided, i.e. middle names)

2. Are you a member of any other non-parliamentary political party in Australia?

NOTE: For the purposes of the audit, you are permitted to be a member of more than one political party. However, should that political party not have a member in the federal parliament e.g. IMOP, GAP, AFP or HAP, you must choose which party the AEC is to count you as a member in their audit.

3. If you ARE NOT a member of another non-parliamentary political party, do you give IMOP permission to forward your details to the AEC for a current audit? This means they may contact you in the next 4 months to confirm.

4. If you ARE a member of another non–parliamentary political party would you nominate the IMOP should the AEC ask you to nominate a party for its audit? Note: The AEC will not accept multiple memberships with non-parliamentary parties for the purposes of an audit.

NOTE: After you click on the"Submit Form" button you should receive a "Thank you for your Membership" email.
Should you not receive this email, chances are the email address you entered is incorrect; or some of the fields have not been entered correctly; or it has gone into your junk mail. Failing that, please try again or contact us.

Submit Form

Thank you for membership. To make your $25 payment, please choose from one of the following payment options:

BANK DEPOSIT:

Account Name: Informed Medical Options Party
BSB: 062 560 A/C: 1044 8211

CREDIT CARD: