Your Contact Details

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Full Name (Required)

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Mobile Number (Required)

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About You

We require details about your age group and area in order to put you in contact with the most appropriate person. Please provide as much further information as possible.

Your Age
---13-1718-2525-3535-65Over 65

Your Area
---Belfast (East)Belfast (North)Belfast (South)Belfast (West)East AntrimEast LondonderryFermanagh & South TyroneFoyleLagan ValleyMid UlsterNewry & ArmaghNorth AntrimNorth DownSouth AntrimSouth DownStrangfordUpper BannWest TyroneOther

Postcode

Are you a member of a Union?
---NoBECTUCWUEquityFBUGMBINTONASUWTNIPSANUJPCSProspectSIPTUTSSAUCUUTUUNISONUniteUSDAWOther Union

Are you a Student?
---NoYes - UniversityYes - FE CollegeYes - School Student

Anything Else?

Why would you like to Join the Socialist Party? Any other comments?

Please tick at least one, I would like:
Receive information about events and campaigns by text (we will add you to our text list)Receive information about events and campaigns by email (we will add you to our email list)Subscribe to the Socialist Party's publications (we will call you to arrange setting up a subscription, you can also subscribe online here)Speak to a member of the Socialist Party to discuss how I can support campaigns (we will call you in the next few days to discuss, please make sure the mobile number you entered is correct)Speak to a member of the Socialist Party to discuss joining the Socialist Party (we will call you in the next few days to discuss, please make sure the mobile number you entered is correct)Speak to a member of Socialist Youth to discuss joining Socialist Youth or supporting Socialist Youth's campaigns (we will call you in the next few days to discuss, please make sure the mobile number you entered is correct)

Where did you hear about the Socialist Party?

I confirm the details above are correct and am happy for a member of the Socialist Party to contact me