Application for Membership

Please answer every question. Please provide your residential
address according to the records of the Australian Electoral
Commission. The second line of the address is optional.

Your Family Name:     
Your Christian Names: 
Your Title:           
Your Date of Birth:   

Residential Address:  
Suburb or Town:       

Postal Address:       
Suburb or Town:       

Home Telephone:       
Mobile Telephone:     
E-mail Address:       

Do you support the White Australia Policy of not
allowing Asians and Africans to live in Australia?

Have you attended a Catholic primary or secondary school?

Are you an Australian citizen?

By sending this application, you are agreeing to be bound by
the constitution of the Mainstream Party. The Party may enrol
you from time to time as a member of the State and Territory
branches of the Party, and as a member of the Party's youth
wing. Currently there is no membership fee.

You agree that, if you are contacted by the Australian
Electoral Commission, or other government agencies, and they
ask you whether you are a member of the Mainstream Party
(or a branch of the Party, or the Party's youth wing),
you will tell them that you are a member.

Please make sure that you have answered all the questions,
otherwise the computer will not be able to process your