Justice and Peace Party First Name * Middle Name Last Name * Date of Birth * Email * Mobile Home Phone Address Street Address Unit / Apartment Number (if applicable) Suburb * State * Postcode * I would like to volunteer I declare that I will abide by the terms of the party constitution as published on the party website. I declare that I am not a current member of any registered Australian political party.I consent to being contacted by the Justice and Peace Party to verify my membership application. I am aware that it is a serious offence to make a false declaration.