New Memberships

If you live in Victoria, and are interested in joining the ALP please fill out the form below to enrol.

Administrative Details

Given Name(s) *

Surname *

Preferred Name(s)

Residential Address

Street *

Suburb *

Postcode *

Postal Address

(Enter if different to address above)

Street

Suburb

Postcode

Telephone Number (AH)

Telephone Number (BH)

Mobile Telephone

Fax Number

Email Address *

Email Address (Alternate)

Date of Birth (DDMMYYYY) *

Gender

* Male
Female

Are you of Aboriginal or Torres Strait Islander descent?

Do you wish to join Rainbow Labor?

* Yes
No

Would you like to receive all Labor correspondence electronically?

* Yes
No

Declarations

Political Background & Electoral Enrolment Declaration

Have you been a member of any political party or prescribed organisation before (including ALP)?

* Yes
No

Date of Joining (DDMMYYYY)

Party/Organisation/Branch

Date of Cessation (DDMMYYYY)

Have you been a candidate at Federal, State or Local Government level?

* Yes
No

If Yes, which Party and further details

Are you enrolled to vote at elections at the address shown on this form?

* Yes
No

OR address enrolled at and why?

OR reason I am not enrolled at all?

Union Membership Declaration

Affiliated Union members are eligible for a $5 discount off membership costs.

Occupation(s)

Union & Division

Payment Details

Membership

Membership Fee

* $31.50 (Concessional)
$47.25 (less than $32,000 P.A.)
$63 ($32,001 - $40,000 P.A.)
$78.75 ($40,001 - $50,000 P.A.)
$105 ($50,001 - $60,000 P.A.)
$157.50 ($60,001 - $70,000 P.A.)
$210 (more than $70,001 P.A.)

Would you like your membership renewed automatically each year via Credit card auto-debit?
If selected, applicants receive a 5% discount off the Membership Fee.

* Yes
No

Fee Amount $AUD

Affiliated Union discount $AUD

Other deductions $AUD Help

Credit Card payments are automatically eligible for discount of $15, since the transaction is made via traceable means.

Membership Total $AUD

Concession Status

Concession Type

* None
Secondary Student
Tertiary (Full-time) Student
Centrelink Health Care Card

Card Number

Institution

Donations

Your donation $AUD

Payment Amount

Payment Total $AUD

Payment Method

Card Type *

Card Holder's name *

Card Number *

Expiry Date / *

CVV Number Help

Your CVV number is the last 3 digits after the credit card number in the signature area at the back of the card. For American Express cards, the CVV number is the 4 digit number located on the front of the card above the main credit card number. *

* I hereby pledge myself to the Australian Labor Party to faithfully uphold to the best of my ability its Constitution and Platforms and to work and vote for the selected Labor candidates. I am not a member of any other organisation which pledges its members to support candidates for public office. I will forfeit my membership if I nominate against any endorsed Labor candidate. If I employ labour, I will actively encourage trade union membership.

Please note: While your request is being processed, please be patient and DO NOT try to resubmit the form. Processing can take up to 150 seconds.

Join the ALP

Administrative Details

Residential Address

Postal Address

Declarations

Political Background & Electoral Enrolment Declaration

Union Membership Declaration

Payment Details

Membership

Concession Status

Donations

Payment Amount

Payment Method