UK Independence Party - Devon

UKIP Membership and Donation Form

Title (Mr. Mrs etc: _______________   Name____________________________________________



Post Code________________________

Tel:__________________________  Email:__________________________________

 I give permission to UKIP to store my details in its databases in accordance with the Data Protection Act.
UKIP never discloses member's details to other persons or organisations.

To apply for membership of UKIP:

Except for your email address and signature, please use block capitals and post this form to:
Membership Secretary, 10 Springfields, Colyford, Devon, EX24 6RE and enclose a cheque made payable to UKIP.

Please tick one of the following boxes 
1 year  £30*    Armed Forces 1 year £5    Under 22** 1 year £2    Patrons Club - £1000***
* A minimum of £15 for those with a limited income.  ** e.g., students, all communication electronic.
***  See  for details of the Patron's Club.

If you can offer to help UKIP, we would be grateful to know, please tick the appropriate boxes:
Deliver leaflets     Display a sign      Canvass      Assist local branch      Stand at elections  
I would like make a donation to UKIP and I enclose a cheque for £___________ 

Signed____________________________  Date________________________

Membership is subject to the terms and conditions as follows:

1. Membership shall start from the date of receipt of the initial membership subscription and continue
for the number of years for which the subscription has been paid.

2. Membership subscriptions are not normally refundable.

3. Members shall be considered to be fully paid-up until the end of the month of expiry.
Membership shall be considered to have lapsed if not renewed within a further two months.

4. The Party may refuse or rescind an application for membership if the National Executive Committee considers that the application does not fulfill the criteria for membership as set out in the Party Constitution.

5. The Party Secretary has the right to suspend or expel members who clearly bring the Party into disrepute by association with or membership of an organisation, membership of which the NEC has declared to be incompatible with membership of the Party.

6. Membership is not available to anyone who is or has previously been a member of the British National Party, National Front, British Freedom Party, British People's Party, English Defence League, Britain First or the UK First Party. Any applications made from people who are or have been members of these organisations will be refused, and any subscriptions collected will be refunded.
By applying for membership you certify that you are not and have never been a member of any of these parties.

7. Any action under paragraph 5 shall be confirmed by the NEC at the earliest opportunity.

These Terms and Conditions of Membership came into effect following approval by the UK Independence Party National Executive Committee on 7 March 2008. They replace the Terms and Conditions of Membership dated 2 September 2002 as amended.

Future updates to the Membership terms and conditions will be found at:-

Copyright 1993-2012 © UK Independence Party.  Promoted by the United Kingdom Independence Party, Lexdrum House, Unit 1, King Charles Business Park, Heathfield, Newton Abbot, Devon, TQ12 6UT
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