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You can now join the United Future online. Use the form below to apply to become a member or to renew your membership.

Yes, I confirm my membership
in United Future New Zealand (donation enclosed) $


Name:
*

Address
Street: *
P.O Box:    
Suburb: *
City: *

Email: *
Telephone:    
Fax:    

I am interested in becoming active within the party on a : level

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Any personal information United Future New Zealand gathers about you is intended for party use only. United Future undertakes not to pass this information to any third party without your consent.
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