Official PLP Membership Application (Step 1 of 2)

Title:

Select your title.

First Name: *

Enter your first name.

Middle Name(s):

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Last Name: *

Enter your last name.

Mailing Address:

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Parish:

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Postal Code:

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Home Phone:

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Work Phone:

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Mobile Phone:

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Month of Birth:

Select your month of birth.

Day of Birth: *

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Year of Birth:

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Email: *

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Membership Type:

Select your membership type.

Membership Status:

Select your membership status.

Committees:

Campaign - Coordinates National Campaign

Event Planning - Organizes All Party Conferences, Banquets & Parties

Fundraising - Raise Party Funds

House & Grounds - Responsible for Building Upkeep

Political Education - Conducts party Education Events (Seminars, Forums, etc.)

Public Relations - Press Communciation, Production of Newsletter & Party Literature

Research & Platform - Conducts Research and Prepare the Party's Election Platform

Please select the committee(s) that you would like to join.

Party Activities:

Please identify what party activities in which you would be interested.

Skills:

Please select any skill(s) you possess that would be of assistance.

Comments:

Any additional comments?

Answer: *

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Official PLP Membership Application (Step 1 of 2) | Bermuda Progressive Labour Party

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