4 Year Member

1. Amount


2. Your information

Contributions are tax deductible.

3. Payment information

Membership Application Terms, I understand that, as per the constitution of the Alberta Independence Party Agreement in principle on the establishment of the Alberta Independence Party (AIP) , in order to be eligible for membership I , and any others in this application, must: be a citizen of Alberta ordinarily reside in Alberta; be at least sixteen (16) years of age; indicate intention to join the AIP by personally authorizing this application for membership in the AIP; support the principles of the AIP; and have paid the prescribed membership fee, personally or through an immediate family member (spouse, parent or child). I, understand that a failure to provide accurate and current information on this form may, given this form’s purpose to verify an applicant’s identity and eligibility for membership in the AIP, may result in processing delays, failure to receive important communication, and/or denial of an applicant’s membership application. Please note that as a member of the AIP, membership purchases are non-refundable