Membership Application Form – Reduced Rate Membership

Application for Membership

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

Note: * indicates a required field

This application is for a concessionary rate membership. If you are over 25 or not a member of the armed forces/veteran you can apply for standard rate membership here

Contact information
UKIP Bath & Somerset Branch
By Email:
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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