Simpol-NZ Membership Form

I am on the New Zealand electoral roll and wish to become an active member of Simpol-NZ. I elect to pay an annual subscription of $. (Not more than, $50 please.) (If later you wish to give more than your annual membership fee limit, please do so in the form of a donation.)

I have adopted SP and have written to my Constituency MP/one or more political parties/electoral candidates informing them of my decision.

I Adopt SP and undertake to give my Constituency Vote in preference to ANY reasonable candidate at elections, who pledges to implement Simultaneous Policy alongside other governments, when all or sufficient other governments have committed to implement SP. Likewise, I undertake to give my Party Vote in preference to any reasonable party, which has openly committed itself to support SP when the time comes for international implementation and/or, which has the largest number of SP Adopters amongst its candidates.

I undertake become active in helping Simpol-NZ achieve its goals and to contribute to my local Simpol action committee.

Name:
(First name)
(Surname)
Address:
Telephone:
(Daytime)
(Evening)
Email Address:
(Enter email address)
(Confirm email address)
City:
Constituency:
(If known)
Country:
How did your hear about Simpol?:
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When you submit this form you will receive a email with your completed enrolment form and payment details.