Name:

Address:

Telephone*:

Email*:

I can help by:
Delivering a few leaflets locally
Making a donation
Applying for a postal vote
Displaying a poster at election time
Joining the local Conservative Party

Other:

Data protection:
Do not store my data

(Data Protection Act: The information you supply us with, will be treated by the Conservative Party in the strictest confidence in accordance with the Data Protection Act 1998 and will not be passed on to any third party, except to the Electoral Registration Officer or to an appropriate Councillor or Council Office. From time to time we may contact you with further details of Party policy. *By giving us your email address and/or telephone number, you are agreeing to receive communications and information from us by email or SMS. If you do not wish to have your data stored by the Conservative Party, please tick the box above.)