I wish to become a member of Pirate Party Australia. I have read and understand the Pirate Party Australia Constitution and agree with its platform and principles, and will to the best of my ability work to uphold and promote them.
I am enrolled for Federal elections, i.e. I am 16 years of age or older. I am an Australian citizen (or a British citizen who was on the Australian Electoral roll on 25 of January 1984) and I have lived at the above address for at least one month.
I consent to this form being forwarded to the Australian Electoral Commission (AEC) in support of the party's application for registration as a political party.