Membership Application Form – Full Rate Membership

Application for Membership

Please complete all details accurately. If you experience any problems making a payment please email our Membership Secretary on membership@bathandsomersetukip.org.uk

Note: * indicates a required field

This application is for full rate membership. If you are under 25 or a member of the armed forces/veteran you can apply for reduced rate membership here

Contact information
UKIP Bath & Somerset Branch
By Email: membership@bathandsomersetukip.org.uk
By Post: The Branch Chairman, UKIP Bath & Somerset Branch, c/o The UK Independence Party, Henleaze Business Centre, 13 Harbury Road , Henleaze, Bristol, BS9 4PN

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